Prognosis of lower urinary tract symptoms and function after robot-assisted radical prostatectomy in patients with preoperative low bladder contractility: A prospective, observational study.
Neurourol Urodyn
; 2024 Aug 21.
Article
em En
| MEDLINE
| ID: mdl-39166824
ABSTRACT
OBJECTIVES:
To examine the prognosis of lower urinary tract symptoms and function after robot-assisted radical prostatectomy (RARP) in patients with low preoperative bladder contractility.METHODS:
A total of 115 patients who underwent RARP were enrolled and divided into two groups by preoperative urodynamicfindings:
normal (patients with bladder contractility index [BCI] ≥ 100; n = 70) and low contractility (patients with BCI < 100; n = 45) groups. Lower urinary tract symptoms and function parameters were prospectively evaluated at 1, 3, 6, 9, and 12 months after RARP in both groups.RESULTS:
International Prostatic Symptom Score voiding scores 1, 3, 6, 9, and 12 months after RARP were significantly higher (p < 0.05), and the maximum flow rate (Qmax) values before and 1, 3, 9, and 12 months after RARP were significantly lower in the low contractility group (p < 0.05). Comparing preoperative and postoperative parameters, IPSS voiding scores in the normal contractility group were significantly improved from 6 months after RARP, whereas those in the low contractility group were almost unchanged. Qmax and the 1-h pad test in both groups temporarily deteriorated 1 month after RARP, whereas voided volume and postvoiding residual volume significantly decreased from 1 to 12 months after RARP.CONCLUSIONS:
This observational study showed that patients with low preoperative bladder contractility might have a weak improvement in voiding symptoms and function after RARP.
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MEDLINE
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En
Ano de publicação:
2024
Tipo de documento:
Article