Does urethral length affect continence outcomes following robot assisted laparoscopic radical prostatectomy (RALP)?

• DOI: 10.1186/s12894-020-0578-x
• Publication Date: 2020-01-31T17:03:05Z
• Authors: Diwei Lin; Michael O’Callaghan; Rowan David; Andrew Fuller; Richard Wells; Peter Sutherland; Darren Foreman
• Keywords: Urinary continence; Laparoscopic radical prostatectomy

Abstract Background Post-operative urinary incontinence is a significant concern for patients choosing to undergo radical prostatectomy (RP) treatment of prostate cancer. The aim our study was determine the effect pre-operative MUL on 12 month continence outcomes in men having robot-assisted laparoscopic (RALP). Methods We use South Australian Prostate Cancer Clinical Outcomes Collaborative (SA-PCCOC) database, identify 602 who had undergone RALP by high volume surgeon. Only received an assessment and education specialist pelvic floor physiotherapist, completed EPIC questionnaires before did not have radiotherapy within months surgery were included. measurements taken from magnetic resonance imaging (MRI) scans. short-form version Expanded Index Composite (EPIC-26) used measure outcomes. Continence defined as 100/100 EPIC-26 Urinary domain score. Results observed median this 14.6 mm. There no association between baseline continence. associated with at post (OR 1.13, 95% CI 1.03–1.21, p = 0.0098). In continent surgery, return after 1.15, 1.05–1.28, 0.006). also change (β 1.22, 0.002). Conclusions but positive over RALP.