Impact of Intravesical Prostatic Protrusion on Continence Outcomes after Robotic-Assisted Laparoscopic Radical Prostatectomy
Sheng-Chun Hung, Yen-Chuan Ou*, Cheng-Kuang Yang, Chen-Li Cheng, Hao-Chung Ho, Kun-Yuan Chiu, Chung-Kuang Su, Wen-Ming Chen, Shian-Shiang Wang, Chuan-Shu Chen and Jian-Ri Li
Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan
- *Corresponding Author:
- Ou YC
Division of Urology,
Department of Surgery,
Taichung Veterans General Hospital,
Taichung, Taiwan, ROC,
Postal code 40705 No. 1650,
Sec. 4, Taiwan Boulevard, Taichung,
E-mail: [email protected]
Received date: June 22, 2016; Accepted date: July 27, 2016; Published date: August 08, 2016
Citation: Hung SC, Ou YC, Yang CK, Cheng CL, Ho HC, et al. (2016) Impact of Intravesical Prostatic Protrusion on Continence Outcomes after Robotic-Assisted Laparoscopic Radical Prostatectomy. J Nucl Med Radiat Ther 7:294. doi:10.4172/2155-9619.1000294
Copyright: © 2016 Ou YC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Purpose: We try to evaluate the influence of intravesical prostatic protrusion (IPP) in the postoperative continence of patient who received robotic assisted laparoscopic radical prostatectomy. Methods: A total 600 patients who underwent robotic assisted laparoscopic radical prostatectomy were included in the study. Preoperative MRI was performed in all patients and the vertical distance from the tip of the protruding prostate to the base of the urinary bladder was measured in all sagittal plane. The degree of intravesical prostatic protrusion were divided into three groups (IPP<5 mm, 5 mm<IPP<10 mm, 10 mm<IPP). Surgical procedure was mentioned. Continence was defined as no pad use or only one safety pad per day and assessed at 1, 3 and 12 months postoperatively. The result was examined. Results: The overall continence rate at 1, 3 and 12 month was 69.2%, 91.33% and 95.5%. Among the three groups, there is significant difference in 1 month, 3 months and 12 months continence rate (IPP<5 mm: 82.5%, 96.3%, 97.7%; 5 mm<IPP<10 mm: 61.9%, 89.4%, 94.4%; 10 mm<IPP: 30%, 75.6%, 88.9%, p<0.001). At first month, 415 patients achieved continence but 195 patients still incontinence and the length of IPP among the two groups were 4.43 mm ± 3.74 mm and 8.69 mm ± 6.63 mm, p<0.001. There is also significant difference in IPP length among continence and incontinence group. Conclusions: To our result, both of intravesical prostatic protrusion and prostate volume was correlated with recovery of early and one year continence after robotic assisted laparoscopic radical prostatectomy and with inferior outcome.