The position of urethrovesical anastomosis after robotic radical prostatectomy assessed by MRI predicts early functional recovery: A cohort analyses from a randomized clinical trial
•MRI measurements to determine anastomosis positioning after radical prostatectomy are reliable and have a strong correlation between readers.•The final positioning of the uretrovesical anastomosis varies according to the type of reconstruction after radical prostatectomy.•The final positioning of t...
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| Veröffentlicht in: | European journal of radiology 2021-04, Vol.137, p.109589-109589, Article 109589 |
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| container_title | European journal of radiology |
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| creator | Regis, Lucas Salazar, Aina Planas, Jacques Celma, Ana Cuadras, Merce Roche, Sarai Mast, Richard Morote, Juan Trilla, Enrique |
| description | •MRI measurements to determine anastomosis positioning after radical prostatectomy are reliable and have a strong correlation between readers.•The final positioning of the uretrovesical anastomosis varies according to the type of reconstruction after radical prostatectomy.•The final positioning of the anstomosis is related to early urinary recovery: MRI parameters are independent predictors of urinary continence.
Functional and anatomical changes associated with prostate removal coincide with alterations in pelvic structures. Posterior rhabdosphincter reconstruction was designed to improve urinary continence after radical prostatectomy. The aim of this study was to determine magnetic resonance anatomic predictors of urinary recovery after radical prostatectomy, and to assess their relation to the type of reconstruction.
Forty patients were randomly selected from a trial (NCT03302169). Two independent radiologists determined the situation of the anastomosis in the pelvis according to MRI performed a month after the radical prostatectomy: vertical situation assessed as the distance to the line coccyx-inferior pubic margin (ACPv) and anteroposterior situation as the distance from the pubis (Distance A), and from the coccyx (Distance B).
The Pearson correlation of ACPv, Distance A, and B between readers were 0.975, 0.940, and 0.711, p |
| doi_str_mv | 10.1016/j.ejrad.2021.109589 |
| format | Article |
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Functional and anatomical changes associated with prostate removal coincide with alterations in pelvic structures. Posterior rhabdosphincter reconstruction was designed to improve urinary continence after radical prostatectomy. The aim of this study was to determine magnetic resonance anatomic predictors of urinary recovery after radical prostatectomy, and to assess their relation to the type of reconstruction.
Forty patients were randomly selected from a trial (NCT03302169). Two independent radiologists determined the situation of the anastomosis in the pelvis according to MRI performed a month after the radical prostatectomy: vertical situation assessed as the distance to the line coccyx-inferior pubic margin (ACPv) and anteroposterior situation as the distance from the pubis (Distance A), and from the coccyx (Distance B).
The Pearson correlation of ACPv, Distance A, and B between readers were 0.975, 0.940, and 0.711, p < 0.001. Patients with the reconstruction presented more cephalic situation of the anastomosis (higher ACPv) than patients with standard reconstruction technique. A multivariate analysis was performed including age, BMI, prostate volume, PRRS, and the MRI parameters. ACPv and Distance B were the only two independent predictors of no need for any urinary protection at 6 months after the surgery.
This is the first study that suggests positional differences according to the type of reconstruction after radical prostatectomy related to early urinary recovery. Magnetic resonance measurements to determine anastomosis positioning are reliable and have a strong correlation between readers. Anatomic MRI features are independent predictors of urinary recovery after robotic radical prostatectomy.</description><identifier>ISSN: 0720-048X</identifier><identifier>EISSN: 1872-7727</identifier><identifier>DOI: 10.1016/j.ejrad.2021.109589</identifier><identifier>PMID: 33607371</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Anastomosis, Surgical ; Early continence ; Humans ; Magnetic resonance ; Magnetic Resonance Imaging ; Male ; Posterior rhabdosphincter reconstruction ; Prostatectomy ; Prostatic Neoplasms - diagnostic imaging ; Prostatic Neoplasms - surgery ; Radical prostatectomy ; Recovery of Function ; Robotic Surgical Procedures ; Urinary incontinence ; Urinary Incontinence - diagnostic imaging</subject><ispartof>European journal of radiology, 2021-04, Vol.137, p.109589-109589, Article 109589</ispartof><rights>2021 Elsevier B.V.</rights><rights>Copyright © 2021 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-bcfea6438f9dd86f8f337f69f4ba8109f915da86e8cb8be2902dbb74ddc8a1ee3</citedby><cites>FETCH-LOGICAL-c359t-bcfea6438f9dd86f8f337f69f4ba8109f915da86e8cb8be2902dbb74ddc8a1ee3</cites><orcidid>0000-0001-9401-0872 ; 0000-0003-4715-9230 ; 0000-0001-7121-1946</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0720048X21000693$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33607371$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Regis, Lucas</creatorcontrib><creatorcontrib>Salazar, Aina</creatorcontrib><creatorcontrib>Planas, Jacques</creatorcontrib><creatorcontrib>Celma, Ana</creatorcontrib><creatorcontrib>Cuadras, Merce</creatorcontrib><creatorcontrib>Roche, Sarai</creatorcontrib><creatorcontrib>Mast, Richard</creatorcontrib><creatorcontrib>Morote, Juan</creatorcontrib><creatorcontrib>Trilla, Enrique</creatorcontrib><title>The position of urethrovesical anastomosis after robotic radical prostatectomy assessed by MRI predicts early functional recovery: A cohort analyses from a randomized clinical trial</title><title>European journal of radiology</title><addtitle>Eur J Radiol</addtitle><description>•MRI measurements to determine anastomosis positioning after radical prostatectomy are reliable and have a strong correlation between readers.•The final positioning of the uretrovesical anastomosis varies according to the type of reconstruction after radical prostatectomy.•The final positioning of the anstomosis is related to early urinary recovery: MRI parameters are independent predictors of urinary continence.
Functional and anatomical changes associated with prostate removal coincide with alterations in pelvic structures. Posterior rhabdosphincter reconstruction was designed to improve urinary continence after radical prostatectomy. The aim of this study was to determine magnetic resonance anatomic predictors of urinary recovery after radical prostatectomy, and to assess their relation to the type of reconstruction.
Forty patients were randomly selected from a trial (NCT03302169). Two independent radiologists determined the situation of the anastomosis in the pelvis according to MRI performed a month after the radical prostatectomy: vertical situation assessed as the distance to the line coccyx-inferior pubic margin (ACPv) and anteroposterior situation as the distance from the pubis (Distance A), and from the coccyx (Distance B).
The Pearson correlation of ACPv, Distance A, and B between readers were 0.975, 0.940, and 0.711, p < 0.001. Patients with the reconstruction presented more cephalic situation of the anastomosis (higher ACPv) than patients with standard reconstruction technique. A multivariate analysis was performed including age, BMI, prostate volume, PRRS, and the MRI parameters. ACPv and Distance B were the only two independent predictors of no need for any urinary protection at 6 months after the surgery.
This is the first study that suggests positional differences according to the type of reconstruction after radical prostatectomy related to early urinary recovery. Magnetic resonance measurements to determine anastomosis positioning are reliable and have a strong correlation between readers. Anatomic MRI features are independent predictors of urinary recovery after robotic radical prostatectomy.</description><subject>Anastomosis, Surgical</subject><subject>Early continence</subject><subject>Humans</subject><subject>Magnetic resonance</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Posterior rhabdosphincter reconstruction</subject><subject>Prostatectomy</subject><subject>Prostatic Neoplasms - diagnostic imaging</subject><subject>Prostatic Neoplasms - surgery</subject><subject>Radical prostatectomy</subject><subject>Recovery of Function</subject><subject>Robotic Surgical Procedures</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - diagnostic imaging</subject><issn>0720-048X</issn><issn>1872-7727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2KFDEUhYMoTjv6BIJk6abaJPWXCC6GwZ-BEUFGcBdSyQ2dpqrSJqmBmvfy_bzdPboUAoHknPtxzyHkNWdbznj3br-FfTJuK5jg-KJaqZ6QDZe9qPpe9E_JhvWCVayRPy_Ii5z3jLG2UeI5uajrjvV1zzfk990O6CHmUEKcafR0SVB2Kd5DDtaM1MwmlzihIFPjCySa4hBLsBTRJ8UhxVxMAYuylZqcAY-jw0q_fr_BX0BZyRRMGlfql9keSehLYJGS1vf0itq4i6kcYeOKfupTnKhBxOziFB5wnB3DfMKVFMz4kjzzZszw6vG-JD8-fby7_lLdfvt8c311W9m6VaUarAfTNbX0yjnZeenruved8s1gJCbmFW-dkR1IO8gBhGLCDUPfOGel4QD1JXl7notL_logFz2FbGEczQxxyVo0iqumxZxRWp-lFvPICbw-pDCZtGrO9LEvvdenvvSxL33uC11vHgHLMIH75_lbEAo-nAWAa94HSDrbALPFVDHAol0M_wX8AXIQrkE</recordid><startdate>202104</startdate><enddate>202104</enddate><creator>Regis, Lucas</creator><creator>Salazar, Aina</creator><creator>Planas, Jacques</creator><creator>Celma, Ana</creator><creator>Cuadras, Merce</creator><creator>Roche, Sarai</creator><creator>Mast, Richard</creator><creator>Morote, Juan</creator><creator>Trilla, Enrique</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9401-0872</orcidid><orcidid>https://orcid.org/0000-0003-4715-9230</orcidid><orcidid>https://orcid.org/0000-0001-7121-1946</orcidid></search><sort><creationdate>202104</creationdate><title>The position of urethrovesical anastomosis after robotic radical prostatectomy assessed by MRI predicts early functional recovery: A cohort analyses from a randomized clinical trial</title><author>Regis, Lucas ; Salazar, Aina ; Planas, Jacques ; Celma, Ana ; Cuadras, Merce ; Roche, Sarai ; Mast, Richard ; Morote, Juan ; Trilla, Enrique</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-bcfea6438f9dd86f8f337f69f4ba8109f915da86e8cb8be2902dbb74ddc8a1ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anastomosis, Surgical</topic><topic>Early continence</topic><topic>Humans</topic><topic>Magnetic resonance</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Posterior rhabdosphincter reconstruction</topic><topic>Prostatectomy</topic><topic>Prostatic Neoplasms - diagnostic imaging</topic><topic>Prostatic Neoplasms - surgery</topic><topic>Radical prostatectomy</topic><topic>Recovery of Function</topic><topic>Robotic Surgical Procedures</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Regis, Lucas</creatorcontrib><creatorcontrib>Salazar, Aina</creatorcontrib><creatorcontrib>Planas, Jacques</creatorcontrib><creatorcontrib>Celma, Ana</creatorcontrib><creatorcontrib>Cuadras, Merce</creatorcontrib><creatorcontrib>Roche, Sarai</creatorcontrib><creatorcontrib>Mast, Richard</creatorcontrib><creatorcontrib>Morote, Juan</creatorcontrib><creatorcontrib>Trilla, Enrique</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Regis, Lucas</au><au>Salazar, Aina</au><au>Planas, Jacques</au><au>Celma, Ana</au><au>Cuadras, Merce</au><au>Roche, Sarai</au><au>Mast, Richard</au><au>Morote, Juan</au><au>Trilla, Enrique</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The position of urethrovesical anastomosis after robotic radical prostatectomy assessed by MRI predicts early functional recovery: A cohort analyses from a randomized clinical trial</atitle><jtitle>European journal of radiology</jtitle><addtitle>Eur J Radiol</addtitle><date>2021-04</date><risdate>2021</risdate><volume>137</volume><spage>109589</spage><epage>109589</epage><pages>109589-109589</pages><artnum>109589</artnum><issn>0720-048X</issn><eissn>1872-7727</eissn><abstract>•MRI measurements to determine anastomosis positioning after radical prostatectomy are reliable and have a strong correlation between readers.•The final positioning of the uretrovesical anastomosis varies according to the type of reconstruction after radical prostatectomy.•The final positioning of the anstomosis is related to early urinary recovery: MRI parameters are independent predictors of urinary continence.
Functional and anatomical changes associated with prostate removal coincide with alterations in pelvic structures. Posterior rhabdosphincter reconstruction was designed to improve urinary continence after radical prostatectomy. The aim of this study was to determine magnetic resonance anatomic predictors of urinary recovery after radical prostatectomy, and to assess their relation to the type of reconstruction.
Forty patients were randomly selected from a trial (NCT03302169). Two independent radiologists determined the situation of the anastomosis in the pelvis according to MRI performed a month after the radical prostatectomy: vertical situation assessed as the distance to the line coccyx-inferior pubic margin (ACPv) and anteroposterior situation as the distance from the pubis (Distance A), and from the coccyx (Distance B).
The Pearson correlation of ACPv, Distance A, and B between readers were 0.975, 0.940, and 0.711, p < 0.001. Patients with the reconstruction presented more cephalic situation of the anastomosis (higher ACPv) than patients with standard reconstruction technique. A multivariate analysis was performed including age, BMI, prostate volume, PRRS, and the MRI parameters. ACPv and Distance B were the only two independent predictors of no need for any urinary protection at 6 months after the surgery.
This is the first study that suggests positional differences according to the type of reconstruction after radical prostatectomy related to early urinary recovery. Magnetic resonance measurements to determine anastomosis positioning are reliable and have a strong correlation between readers. Anatomic MRI features are independent predictors of urinary recovery after robotic radical prostatectomy.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>33607371</pmid><doi>10.1016/j.ejrad.2021.109589</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-9401-0872</orcidid><orcidid>https://orcid.org/0000-0003-4715-9230</orcidid><orcidid>https://orcid.org/0000-0001-7121-1946</orcidid></addata></record> |
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| ispartof | European journal of radiology, 2021-04, Vol.137, p.109589-109589, Article 109589 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Anastomosis, Surgical Early continence Humans Magnetic resonance Magnetic Resonance Imaging Male Posterior rhabdosphincter reconstruction Prostatectomy Prostatic Neoplasms - diagnostic imaging Prostatic Neoplasms - surgery Radical prostatectomy Recovery of Function Robotic Surgical Procedures Urinary incontinence Urinary Incontinence - diagnostic imaging |
| title | The position of urethrovesical anastomosis after robotic radical prostatectomy assessed by MRI predicts early functional recovery: A cohort analyses from a randomized clinical trial |
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