지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 114 - 122 (9page)
이용수
초록· 키워드
오류제보하기
Purpose: The efficacy of pelvic floor muscle training (PFMT) for men with postprostatectomy incontinence (PPI) after robotic- assisted radical prostatectomy (RARP) is controversial and the mechanism for its possible effect remains unclear. The aim of this study was to investigate the relationship between bladder neck (BN) displacement, as a proxy for puborectal muscle activation, and continence outcomes after RARP. Methods: Data were extracted from the South Australian Prostate Cancer Clinical Outcomes Collaborative database for men undergoing RARP by high volume surgeons who attended preoperative pelvic floor physiotherapy for pelvic floor muscle (PFM) training between 2012 and 2015. Instructions were to contract the PFM as if stopping the flow of urine. BN displacement was measured with 2-dimensional transperineal ultrasound, without digital rectal examination. Urinary continence status was assessed preoperatively and at 3, 6, and 12 months using the Expanded Prostate Cancer Index Composite 26. Data were analysed using logistic regression and mixed effects linear modelling. Confounding variables considered were baseline continence, age at diagnosis, margin status, nerve sparing procedures and pathological stage. Results: Of 671 eligible men, 358 met the inclusion criteria and were available for analysis, with 136 complete datasets at 12-month follow-up. While BN movement was associated with preoperative continence, there was no significant effect of BN displacement on the change in urinary continence at 12 months postprostatectomy (P=0.81) or on the influence of time on continence over 3–12 months. Conclusions: Continence outcomes were not associated with BN displacement, produced by activity of the puborectal portion of the levator ani muscle, at 3, 6, or 12 months after RARP. These results suggest that the puborectal muscle does not play a role in the recovery of continence after RARP and may help to explain the negative findings of many studies of PFMT for PPI.
목차
등록된 정보가 없습니다.
참고문헌 (35)
참고문헌 신청
Sanda MG / 2008 / Quality of life and satisfaction with outcome among prostate-cancer survivors / N Engl J Med 358:1250~1261
Wang W / 2014 / Effectiveness of preoperative pelvic floor muscle training for urinary incontinence after radical prostatectomy: a meta-analysis / BMC Urol 14:99
Anderson CA / 2015 / Conservative management for postprostatectomy urinary incontinence / Cochrane Database Syst Rev 1
Chang JI / 2016 / Preoperative pelvic floor muscle exercise and postprostatectomy incontinence: a systematic review and meta-analysis / Eur Urol 69:460~467
Stafford RE / 2012 / Novel insight into the dynamics of male pelvic floor contractions through transperineal ultrasound imaging / J Urol 188:1224~1230
Wang W / 2014 / Effectiveness of preoperative pelvic floor muscle training for urinary incontinence after radical prostatectomy: a meta-analysis / BMC Urol 14:99
Anderson CA / 2015 / Conservative management for postprostatectomy urinary incontinence / Cochrane Database Syst Rev 1
Chang JI / 2016 / Preoperative pelvic floor muscle exercise and postprostatectomy incontinence: a systematic review and meta-analysis / Eur Urol 69:460~467
Stafford RE / 2012 / Novel insight into the dynamics of male pelvic floor contractions through transperineal ultrasound imaging / J Urol 188:1224~1230
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Pelvic floor muscle exercise with biofeedback helps regain urinary continence after robot-assisted radical prostatectomy
Journal of Yeungnam Medical Science
2021 .01
-
Effect of Nerve-Sparing Radical Prostatectomy on Urinary Continence in Patients With Preoperative Erectile Dysfunction
International Neurourology Journal
2016 .01
-
Efficacy of urine loss ratio for prognosis of urinary continence after radical prostatectomy: A retrospective cohort study in a single Japanese institution
Investigative and Clinical Urology
2023 .03
-
Modified apical dissection improves early continence in robot-assisted laparoscopic radical prostatectomy: Comparative study between modified apical dissection and anterior suspension stitch
Investigative and Clinical Urology
2022 .11
-
The Effectiveness of Cystography-Measured Bladder Neck Elevation at Predicting the Return of Continence After Robot-Assisted Radical Prostatectomy
International Neurourology Journal
2019 .01
-
Extraperitoneal single-port robot-assisted radical prostatectomy: Short-term outcomes and technique description
Investigative and Clinical Urology
2024 .09
-
The Integral Theory, Pelvic Floor Biomechanics, and Binary Innervation
International Neurourology Journal
2024 .09
-
Correlations among the Continence Function, Cognitive Function and Activities of Daily Living in Elderly Male Patients with Dementia in a Geriatric Hospital
Journal of international academy of physical therapy research
2016 .01
-
Comparative analysis of oncologic outcomes for open vs. robot-assisted radical prostatectomy in high-risk prostate cancer
Investigative and Clinical Urology
2015 .01
-
Comparison of Robot-Assisted Radical Prostatectomy and Open Radical Prostatectomy Outcomes: A Systematic Review and Meta-Analysis
Yonsei Medical Journal
2016 .01
-
Robot-assisted radical prostatectomy has lower biochemical recurrence than laparoscopic radical prostatectomy: Systematic review and meta-analysis
Investigative and Clinical Urology
2017 .01
-
Effect of Continuous Urethro-Vesical Anastomosis Technique in Incontinence After Radical Retropubic Prostatectomy, 1:1 Matching Study
International Neurourology Journal
2015 .01
-
Urinary Continence after Robot-Assisted Laparoscopic Radical Prostatectomy: The Impact of Intravesical Prostatic Protrusion
Yonsei Medical Journal
2016 .01
-
Long-term Outcome of a Fissurectomy: A Prospective Single-Arm Study of 50 Operations out of 349 Initial Patients
Annals of Coloproctology
2018 .01
-
Quality of Life and Anorectal Malformations: A Single-Center Experience
Pediatric Gastroenterology, Hepatology & Nutrition
2022 .07
-
분만방법 유형이 골반바닥근육 기능에 미치는 영향
PNF and movement
2017 .01
-
A Prospective Analysis of the Effects of Nerve-Sparing Radical Prostatectomy on Urinary Continence Based on Expanded Prostate Cancer Index Composite and International Index of Erectile Function Scoring Systems
International Neurourology Journal
2018 .01
-
Single-port robot-assisted radical prostatectomy with the da Vinci SP system: A single surgeon's experience
Investigative and Clinical Urology
2020 .01
-
A comparison of the survival outcomes of robotic-assisted radical prostatectomy and radiation therapy in patients over 75 years old with non-metastatic prostate cancer: A Korean multicenter study
Investigative and Clinical Urology
2021 .09
-
Usefulness of Anorectal Manometry for Diagnosing Continence Problems After a Low Anterior Resection
Annals of Coloproctology
2016 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0