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Significance of urethral fibrosis evaluated by preoperative magnetic resonance imaging as a predictor of continence status after robot‐assisted radical prostatectomy
Author(s) -
Momozono Hiroyuki,
Miyake Hideaki,
Miyazaki Akira,
Fujisawa Masato
Publication year - 2016
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1673
Subject(s) - medicine , prostatectomy , fibrosis , magnetic resonance imaging , urology , urinary continence , surgery , radiology , prostate , cancer
Background The objective of this study was to assess the impact of urethral fibrosis on the continence status following robot‐assisted radical prostatectomy (RARP). Methods The findings of fibrosis of the urethral wall and periurethral tissue in 185 patients undergoing RARP were each divided into grade 0 to 3 based on preoperative T2‐weighted magnetic resonance imaging. Urethral fibrosis was defined as the sum of both grades, and scores ≤ 2 and ≥ 3 were considered as ‘no/mild’ and ‘severe’ fibrosis, respectively. Results The incidences of continence in patients with no/mild fibrosis were significantly higher at 3, 6, and 12 months after RARP than those with severe fibrosis. Furthermore, urethral fibrosis was identified as an independent predictor of the postoperative continence status at 3, 6, and 12 months after RARP. Conclusions Assessment of urethral fibrosis could be a significant predictor of recovery of the urinary continence status after RARP. Copyright © 2015 John Wiley & Sons, Ltd.