Evidence map›Paper›PMID 39041551›Full record

ArticleBeijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences2024

[Predictive value of preoperative pelvic floor electrophysiological parameters on early urinary incontinence following radical prostatectomy].

Shuhui Yu, Jianing Han, Lijun Zhong, Congyu Chen, Yunxiang Xiao, Yanbo Huang, Yang Yang, Xinyan Che

Abstract readEnglish Abstract
PubMed Full text at PMC
In one paragraph

Article in Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Shuhui YuDepartment of Urology, Peking University First Hospital, Beijing 100034, China.
Jianing HanDepartment of Urology, Peking University First Hospital, Beijing 100034, China.
Lijun ZhongDepartment of Urology, Peking University First Hospital, Beijing 100034, China.
Congyu ChenDepartment of Urology, Peking University First Hospital, Beijing 100034, China.
Yunxiang XiaoDepartment of Urology, Peking University First Hospital, Beijing 100034, China.
Yanbo HuangDepartment of Urology, Peking University First Hospital, Beijing 100034, China.
Yang YangDepartment of Urology, Peking University First Hospital, Beijing 100034, China.
Xinyan CheDepartment of Urology, Peking University First Hospital, Beijing 100034, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the predictive value of preoperative pelvic floor electromyography (EMG) parameters for the risk of urinary incontinence after prostate cancer surgery.

methodsThis study retrospectively analyzed the medical records of 271 patients who underwent radical prostatectomy in the urology department of Peking University First Hospital from January 2020 to October 2022. The data included patient age, body mass index (BMI), international prostate symptom score (IPSS), prostate-specific antigen (PSA) levels, Gleason score, type of surgery, urethral reconstruction, lymph node dissection, nerve preservation, catheterization duration, D ' Amico risk classification, American Society of Anesthesiologists (ASA) score, Charlson comorbidity index, postoperative duration, prostate volume, and pelvic floor EMG parameters (pre-resting mean, fast muscle mean, and slow muscle mean scores). Independent risk factors affecting early postoperative urinary incontinence were identified through multivariate Logistic regression analysis. The predictive efficacy of pelvic floor EMG results was evaluated by calculating the area under the receiver operating characteristic (ROC) curve, and the optimal threshold for early postoperative urinary incontinence was determined based on the Youden index and clinical significance.

resultsThe study included 271 prostate cancer patients, with an 81.9% rate of voluntary urinary control post-surgery. The median score for fast pelvic floor muscles was 23.5(18.2, 31.6), and for slow muscles, it was 12.5(9.6, 17.3). Among the patients, 179 (66.1%) did not preserve nerves, and 110 (40.6%) underwent urethral reconstruction. Advanced age and low fast muscle scores were identified as independent risk factors for urinary incontinence. Patients aged ≤60 had 5.482 times the voluntary urinary control rate compared with those aged ≥70 (95%

conclusionPreoperative pelvic floor EMG parameters show good predictive accuracy and clinical applicability for the risk of urinary incontinence after prostate cancer surgery. These parameters can be used for early identification of urinary incontinence risk, with age and fast muscle scores being important predictors.

Indexed as

ElectromyographyPelvic FloorProstatectomyProstatic NeoplasmsUrinary IncontinenceAgedHumansMaleMiddle AgedPostoperative ComplicationsPredictive Value of TestsRetrospective StudiesRisk FactorsROC CurvePelvic floor electromyography parametersRadical prostatectomyUrinary incontinence

Identifiers

PMID39041551
PMCPMC11284456

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