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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...

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Retzius-Sparing Robot-Assisted Radical Prostatectomy
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[Urinary continence following laparoscopic radical prostatectomy: qualitative analysis].

A Erauso1, M-A Perrouin-Verbe, G Papin

  • 1Service d'urologie, hôpital de la Cavale Blanche, CHRU de Brest, Brest, France. georges.fournier@chu-brest.fr

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|October 30, 2012
PubMed
Summary

Urinary continence after laparoscopic radical prostatectomy (LRP) for prostate cancer shows slow recovery, with only 33.7% of patients returning to baseline continence at 12 months. Age over 60 is a significant risk factor for persistent urinary incontinence post-LRP.

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Area of Science:

  • Urology
  • Oncology
  • Surgical Oncology

Context:

  • Laparoscopic radical prostatectomy (LRP) is a common treatment for localized prostate cancer.
  • Urinary continence is a critical quality-of-life outcome following LRP.
  • Understanding recovery patterns and risk factors is essential for patient counseling and management.

Purpose:

  • To evaluate urinary continence rates and return to baseline continence after LRP for localized prostate cancer.
  • To identify risk factors influencing the return to baseline urinary continence post-LRP.

Summary:

  • A prospective study evaluated 300 patients undergoing LRP for localized prostate cancer.
  • At 12 months post-LRP, only 33.7% of patients achieved baseline urinary continence, though 78.4% did not use pads.
  • Age over 60 was identified as a significant risk factor for urinary incontinence in both univariate and multivariate analyses.

Impact:

  • The findings indicate a substantial proportion of patients experience persistent urinary incontinence one year after LRP, even if pad usage is low.
  • Age is a key predictor of continence recovery, necessitating tailored patient expectations and potential interventions.
  • This data aids in refining patient selection, surgical counseling, and post-operative care strategies for LRP.