术前磁共振成像显示前列腺尿道长度较短与机器人辅助腹腔镜根治性前列腺切除术后出现排尿困难的风险较高有关

IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY
Carmen Muñoz-Calahorro, Mariano José Parada-Blázquez, Cristina García-Sánchez, Leticia López-Arellano, Maria del Loreto Parra López, José María Lozano-Blasco, Rafael Antonio Medina-López
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引用次数: 0

摘要

泌尿高潮是指性高潮时漏尿;泌尿高潮是前列腺癌根治术的一种不良反应。我们的目标是确定各种术前 MRI 盆底测量值是否与机器人辅助腹腔镜前列腺癌根治术后发生泌尿系统感染的风险有关。为此,我们进行了一项前瞻性研究,共有 57 名患者接受了机器人辅助腹腔镜前列腺癌根治术。MRI 测量结果由两名泌尿科医生和两名放射科医生进行分析。在 3 个月、6 个月和 12 个月时使用 Parra 性高潮功能问卷进行随访。我们分析了所有测量结果以及患者、手术和肿瘤的其他特征,并根据有无泌尿高潮将患者分为两组。在具有统计学意义的变量中采用了逻辑回归模型。STROBE建议也被考虑在内。前列腺尿道长度较短与 3 个月时出现泌尿系统感染的风险较高相关,OR = 0.83 (95%CI 0.688-0.98) (p = 0.024)。6 个月时有排尿困难的患者的尿道宽度中位数更大[12.66 mm,四分位距(IQR):11.77-13.55 vs 12.13 mm,IQR 11.08-13.18](p = 0.02)。(p = 0.02).12个月时有排尿困难的患者术前有下尿路症状的比例更高(57.14% 对 20%)(P = 0.026)。在逻辑回归中,下尿路症状史与较高的气候性排尿风险相关,OR = 6.07 (95% CI 1.342-26.03) (p = 0.023)。总之,机器人辅助腹腔镜前列腺癌根治术后,术前磁共振成像显示的前列腺尿道长度较短和下尿路症状史与较高的泌尿系统疾病风险相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Shorter prostatic urethral length in preoperative Magnetic Resonance Imaging is associated with higher risk of climacturia following robot-assisted laparoscopic radical prostatectomy

Shorter prostatic urethral length in preoperative Magnetic Resonance Imaging is associated with higher risk of climacturia following robot-assisted laparoscopic radical prostatectomy

Climacturia is defined as the leakage of urine during orgasm and it is an adverse effect of radical prostatectomy. Our goal was to determine if various preoperative MRI pelvic floor measurements were associated with the risk of climacturia following robot-assisted laparoscopic radical prostatectomy. For this purpose, we conducted a prospective study involving 57 patients who underwent robot-assisted laparoscopic radical prostatectomy. MRI measurements were analysed by 2 urologists and 2 radiologists. Follow-up was carried out at 3, 6, and 12 months using the Parra orgasmic function questionnaire. We analysed all measurements, along with other patient, surgery, and tumour characteristics, classifying patients into two groups based on the presence or absence of climacturia. A logistic regression model was applied among statistically significant variables. STROBE recommendations were taken into consideration. Shorter prostatic urethral length was associated with higher risk of climacturia at 3 months, OR = 0.83 (95%CI 0.688–0.98) (p = 0.024). Patients with climacturia at 6 months had greater median urethral width [12.66 mm, interquartile range (IQR): 11.77–13.55 vs 12.13 mm, IQR 11.08–13.18] (p = 0.02). Patients with climacturia at 12 months had a higher proportion of preoperative lower urinary tract symptoms (57.14% vs. 20%) (p = 0.026). In the logistic regression, the history of lower urinary tract symptoms was associated with a higher risk of climacturia, OR = 6.07 (95% CI 1.342-26.03) (p = 0.023). In conclusion, shorter prostatic urethral length in preoperative MRI and a history of lower urinary tract symptoms were associated with a higher risk of climacturia following robot-assisted laparoscopic radical prostatectomy.

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来源期刊
International Journal of Impotence Research
International Journal of Impotence Research 医学-泌尿学与肾脏学
CiteScore
4.90
自引率
19.20%
发文量
140
审稿时长
>12 weeks
期刊介绍: International Journal of Impotence Research: The Journal of Sexual Medicine addresses sexual medicine for both genders as an interdisciplinary field. This includes basic science researchers, urologists, endocrinologists, cardiologists, family practitioners, gynecologists, internists, neurologists, psychiatrists, psychologists, radiologists and other health care clinicians.
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