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dc.contributor.authorAarsæther, Erling Johan
dc.contributor.authorRoaldsen, Marius
dc.contributor.authorKnutsen, Tore
dc.contributor.authorPatel, Hiten R.
dc.contributor.authorSoltun, Bård
dc.date.accessioned2021-03-17T10:23:18Z
dc.date.available2021-03-17T10:23:18Z
dc.date.issued2020-10-14
dc.description.abstractEarly urinary incontinence remains a major source of morbidity for patients undergoing robotic prostatectomy. The purpose of the study was to determine whether the introduction of a suspension stitch would improve early urinary continence rates in patients undergoing robotic prostatectomy for localized prostate cancer at our department. We retrospectively reviewed patients undergoing robotic prostatectomy with either suspension (<i>n</i> = 119) or figure-of-eight (<i>n</i> = 48) stitching of the dorsal venous complex. The patients submitted EPIC-26 questionnaires before surgery and after 3 and 18 months, respectively. Logistic regression analysis was run to determine the effect of the suspension stitch, nerve-sparing, posterior reconstruction, prostate volume, age and body mass index on early continence rate. The odds ratio of experiencing urinary leaks was 2.1 times higher (95% CI 1.0–4.3) in the figure-of-eight stitch group compared to the suspension stitch group 3 months after surgery (<i>p</i> < 0.05). The early urinary continence rate was 61.3% in the suspension stitch group compared to 35.4% in the figure-of-eight stitch group (<i>p</i> < 0.005). There were no differences between the groups 18 months post-prostatectomy (90.7% in the suspension stitch group versus 81.4% in the non-suspension stitch group, <i>p</i> = 0.1). Ordinal regression analysis identified the suspension stitch, bilateral nerve-sparing and body mass index as independent predictors of urinary continence at 3 months. The association between urinary continence and either unilateral nerve-sparing, posterior reconstruction, prostate volume or age did not reach statistical significance. Our results suggest that the suspension stitch improved early urinary continence following robotic prostatectomy.en_US
dc.identifier.citationAarsæther EJ, Roaldsen, Knutsen, Patel, Soltun. Improvement in early continence after introduction of periurethral suspension stitch in robotic prostatectomy. Journal of Robotic Surgery. 2020en_US
dc.identifier.cristinIDFRIDAID 1841701
dc.identifier.doi10.1007/s11701-020-01156-6
dc.identifier.issn1863-2483
dc.identifier.issn1863-2491
dc.identifier.urihttps://hdl.handle.net/10037/20701
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.relation.journalJournal of Robotic Surgery
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Technology: 500::Medical technology: 620en_US
dc.subjectVDP::Teknologi: 500::Medisinsk teknologi: 620en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleImprovement in early continence after introduction of periurethral suspension stitch in robotic prostatectomyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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