ArticleKorean journal of urology2015
Urodynamic assessment of bladder and urethral function among men with lower urinary tract symptoms after radical prostatectomy: A comparison between men with and without urinary incontinence.
Article in Korean journal of urology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- The relationship between pre- and postprostatectomy measures of pelvic floor muscle function and development of early incontinence after surgery.Neurourology and urodynamics · 2022Article
- Preoperative exercise interventions to optimize continence outcomes following radical prostatectomy.Nature reviews. Urology · 2021Review
- Mucosal coaptation technique for early urinary continence after robot-assisted radical prostatectomy: a comparative exploratory study.Central European journal of urology · 2021Article
- Chronic kidney disease and urological disorders: systematic use of uroflowmetry in nephropathic patients.Clinical kidney journal · 2019Article
- The Role of Urodynamics in Post-Prostatectomy Incontinence.Current urology reports · 2018Review
- Diagnostic accuracy of urinary biomarkers in infants younger than 3 months with urinary tract infection.Korean journal of pediatrics · 2018Article
- Changes of lower urinary tract function after robot-assisted radical prostatectomy: An urodynamic follow-up within 1 year.Tzu chi medical journalArticle
- Recent research on the role of urodynamic study in the diagnosis and treatment of male lower urinary tract symptoms and urinary incontinence.Tzu chi medical journalReview
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe compared bladder and urethral functions following radical prostatectomy (RP) between men with and without urinary incontinence (UI), using a large-scale database from SNU-experts-of-urodynamics-leading (SEOUL) Study Group. MATERIALS AND
methodsSince July 2004, we have prospectively collected data on urodynamics from 303 patients with lower urinary tract symptoms (LUTS) following RP at three affiliated hospitals of SEOUL Study Group. After excluding 35 patients with neurogenic abnormality, pelvic irradiation after surgery, or a history of surgery on the lower urinary tract, 268 men were evaluated. We compared the urodynamic findings between men who had LUTS with UI (postprostatectomy incontinence [PPI] group) and those who had LUTS without UI (non-PPI group).
resultsThe mean age at an urodynamic study was 68.2 years. Overall, a reduced bladder compliance (≤20 mL/cmH2O) was shown in 27.2% of patients; and 31.3% patients had idiopathic detrusor overactivity. The patients in the PPI group were older (p=0.001) at an urodynamic study and had a lower maximum urethral closure pressure (MUCP) (p<0.001), as compared with those in the non-PPI group. Bladder capacity and detrusor pressure during voiding were also significantly lower in the PPI group. In the logistic regression, only MUCP and maximum cystometric capacity were identified as the related factor with the presence of PPI.
conclusionsIn our study, significant number of patients with LUTS following RP showed a reduced bladder compliance and detrusor overactivity. PPI is associated with both impairment of the urethral closuring mechanism and bladder storage dysfunction.
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