Myosteatosis as a novel predictor of urinary incontinence after robot‐assisted radical prostatectomy
Objectives To evaluate the impact of sarcopenia and myosteatosis on urinary incontinence after prostatectomy. Methods We retrospectively reviewed consecutive patients who underwent robot‐assisted radical prostatectomy without nerve sparing between December 2012 and March 2019. Psoas muscle index and...
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| Veröffentlicht in: | International journal of urology 2022-01, Vol.29 (1), p.34-40 |
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| container_title | International journal of urology |
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| creator | Yamashita, Shimpei Kawabata, Hiroki Deguchi, Ryusuke Ueda, Yuko Higuchi, Masatoshi Muraoka, Satoshi Koike, Hiroyuki Kikkawa, Kazuro Kohjimoto, Yasuo Hara, Isao |
| description | Objectives
To evaluate the impact of sarcopenia and myosteatosis on urinary incontinence after prostatectomy.
Methods
We retrospectively reviewed consecutive patients who underwent robot‐assisted radical prostatectomy without nerve sparing between December 2012 and March 2019. Psoas muscle index and average total psoas density, which were measured on preoperative computed tomography images at level L3, were used to evaluate sarcopenia and myosteatosis, respectively. In addition, several magnetic resonance imaging variables associated with pelvic muscles, the urethra and the prostate were measured. Urinary continence was defined as non‐use or use of just one incontinence pad per day. Logistic regression analyses aimed to identify the predictors of urinary incontinence 3 and 12 months after surgery.
Results
Overall, 121 patients were included in the analysis. The incidence rates of urinary incontinence 3 and 12 months after surgery were 42% (51/121 cases) and 16% (19/121 cases), respectively. Logistic multivariable analysis showed that low average total psoas density was the only significant independent predictor of urinary incontinence 3 months after surgery (P |
| doi_str_mv | 10.1111/iju.14704 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2574405862</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2616392288</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4434-884db7f0f7e8ed1d427ea6071255635df4ea9833b435672a5900be8921969a5d3</originalsourceid><addsrcrecordid>eNp1kMtuGyEUQFGVqHEei_5AhZRNs5iY5wDLymoSV666ideImbkjYY0HB5hG3uUT-o39kpI4zaJSEBKbw-FyEPpEyTUta-430zUViogPaEaFYBUjgh2hGTHUVJoqdoJOU9oQQjmj-iM64UJyaaiaof7HPqQMLofkE3Zl4zH8ggHvInS-zSHi0OMp-tHFPfZjG8bsRxhbwK7PEHEMTch_nn67VAQZOhxdueeeBUXsMhTHdn-Ojns3JLh4Pc_Q-ubb_eKuWv28XS6-rqpWCC4qrUXXqJ70CjR0tBNMgauJokzKmsuuF-CM5rwRXNaKOWkIaUAbRk1tnOz4Gfpy8JbXHyZI2W59amEY3AhhSpZJJQSRumYFvfwP3YQpjmU6y2pac8OY1oW6OlBt-U6K0Ntd9NvSwlJin-PbEt--xC_s51fj1GyheyP_1S7A_AA8-gH275vs8vv6oPwLH-OPiQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2616392288</pqid></control><display><type>article</type><title>Myosteatosis as a novel predictor of urinary incontinence after robot‐assisted radical prostatectomy</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Yamashita, Shimpei ; Kawabata, Hiroki ; Deguchi, Ryusuke ; Ueda, Yuko ; Higuchi, Masatoshi ; Muraoka, Satoshi ; Koike, Hiroyuki ; Kikkawa, Kazuro ; Kohjimoto, Yasuo ; Hara, Isao</creator><creatorcontrib>Yamashita, Shimpei ; Kawabata, Hiroki ; Deguchi, Ryusuke ; Ueda, Yuko ; Higuchi, Masatoshi ; Muraoka, Satoshi ; Koike, Hiroyuki ; Kikkawa, Kazuro ; Kohjimoto, Yasuo ; Hara, Isao</creatorcontrib><description>Objectives
To evaluate the impact of sarcopenia and myosteatosis on urinary incontinence after prostatectomy.
Methods
We retrospectively reviewed consecutive patients who underwent robot‐assisted radical prostatectomy without nerve sparing between December 2012 and March 2019. Psoas muscle index and average total psoas density, which were measured on preoperative computed tomography images at level L3, were used to evaluate sarcopenia and myosteatosis, respectively. In addition, several magnetic resonance imaging variables associated with pelvic muscles, the urethra and the prostate were measured. Urinary continence was defined as non‐use or use of just one incontinence pad per day. Logistic regression analyses aimed to identify the predictors of urinary incontinence 3 and 12 months after surgery.
Results
Overall, 121 patients were included in the analysis. The incidence rates of urinary incontinence 3 and 12 months after surgery were 42% (51/121 cases) and 16% (19/121 cases), respectively. Logistic multivariable analysis showed that low average total psoas density was the only significant independent predictor of urinary incontinence 3 months after surgery (P < 0.01), and low obturator internus muscle thickness (P = 0.01), short membranous urethral length (P = 0.01) and low average total psoas density (P < 0.01) were significant independent predictors of urinary incontinence 12 months after surgery. By contrast, psoas muscle index was not statistically associated with urinary incontinence after surgery.
Conclusions
Myosteatosis (low average total psoas density) could be a novel predictor of urinary incontinence after robot‐assisted radical prostatectomy.</description><identifier>ISSN: 0919-8172</identifier><identifier>ISSN: 1442-2042</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1111/iju.14704</identifier><identifier>PMID: 34535917</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>Computed tomography ; Humans ; Magnetic resonance imaging ; Male ; Muscles ; Patients ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Prostate ; Prostate - diagnostic imaging ; Prostate - surgery ; prostate cancer ; Prostatectomy ; Prostatectomy - adverse effects ; Prostatic Neoplasms - surgery ; Psoas muscle ; Recovery of Function ; Retrospective Studies ; robotic surgical procedures ; Robotic Surgical Procedures - adverse effects ; Robotics ; Robots ; Sarcopenia ; Surgery ; Urethra ; Urinary incontinence ; Urinary Incontinence - epidemiology ; Urinary Incontinence - etiology</subject><ispartof>International journal of urology, 2022-01, Vol.29 (1), p.34-40</ispartof><rights>2021 The Japanese Urological Association</rights><rights>2021 The Japanese Urological Association.</rights><rights>2022 The Japanese Urological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4434-884db7f0f7e8ed1d427ea6071255635df4ea9833b435672a5900be8921969a5d3</citedby><cites>FETCH-LOGICAL-c4434-884db7f0f7e8ed1d427ea6071255635df4ea9833b435672a5900be8921969a5d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fiju.14704$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fiju.14704$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34535917$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamashita, Shimpei</creatorcontrib><creatorcontrib>Kawabata, Hiroki</creatorcontrib><creatorcontrib>Deguchi, Ryusuke</creatorcontrib><creatorcontrib>Ueda, Yuko</creatorcontrib><creatorcontrib>Higuchi, Masatoshi</creatorcontrib><creatorcontrib>Muraoka, Satoshi</creatorcontrib><creatorcontrib>Koike, Hiroyuki</creatorcontrib><creatorcontrib>Kikkawa, Kazuro</creatorcontrib><creatorcontrib>Kohjimoto, Yasuo</creatorcontrib><creatorcontrib>Hara, Isao</creatorcontrib><title>Myosteatosis as a novel predictor of urinary incontinence after robot‐assisted radical prostatectomy</title><title>International journal of urology</title><addtitle>Int J Urol</addtitle><description>Objectives
To evaluate the impact of sarcopenia and myosteatosis on urinary incontinence after prostatectomy.
Methods
We retrospectively reviewed consecutive patients who underwent robot‐assisted radical prostatectomy without nerve sparing between December 2012 and March 2019. Psoas muscle index and average total psoas density, which were measured on preoperative computed tomography images at level L3, were used to evaluate sarcopenia and myosteatosis, respectively. In addition, several magnetic resonance imaging variables associated with pelvic muscles, the urethra and the prostate were measured. Urinary continence was defined as non‐use or use of just one incontinence pad per day. Logistic regression analyses aimed to identify the predictors of urinary incontinence 3 and 12 months after surgery.
Results
Overall, 121 patients were included in the analysis. The incidence rates of urinary incontinence 3 and 12 months after surgery were 42% (51/121 cases) and 16% (19/121 cases), respectively. Logistic multivariable analysis showed that low average total psoas density was the only significant independent predictor of urinary incontinence 3 months after surgery (P < 0.01), and low obturator internus muscle thickness (P = 0.01), short membranous urethral length (P = 0.01) and low average total psoas density (P < 0.01) were significant independent predictors of urinary incontinence 12 months after surgery. By contrast, psoas muscle index was not statistically associated with urinary incontinence after surgery.
Conclusions
Myosteatosis (low average total psoas density) could be a novel predictor of urinary incontinence after robot‐assisted radical prostatectomy.</description><subject>Computed tomography</subject><subject>Humans</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Muscles</subject><subject>Patients</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Prostate</subject><subject>Prostate - diagnostic imaging</subject><subject>Prostate - surgery</subject><subject>prostate cancer</subject><subject>Prostatectomy</subject><subject>Prostatectomy - adverse effects</subject><subject>Prostatic Neoplasms - surgery</subject><subject>Psoas muscle</subject><subject>Recovery of Function</subject><subject>Retrospective Studies</subject><subject>robotic surgical procedures</subject><subject>Robotic Surgical Procedures - adverse effects</subject><subject>Robotics</subject><subject>Robots</subject><subject>Sarcopenia</subject><subject>Surgery</subject><subject>Urethra</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - epidemiology</subject><subject>Urinary Incontinence - etiology</subject><issn>0919-8172</issn><issn>1442-2042</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtuGyEUQFGVqHEei_5AhZRNs5iY5wDLymoSV666ideImbkjYY0HB5hG3uUT-o39kpI4zaJSEBKbw-FyEPpEyTUta-430zUViogPaEaFYBUjgh2hGTHUVJoqdoJOU9oQQjmj-iM64UJyaaiaof7HPqQMLofkE3Zl4zH8ggHvInS-zSHi0OMp-tHFPfZjG8bsRxhbwK7PEHEMTch_nn67VAQZOhxdueeeBUXsMhTHdn-Ojns3JLh4Pc_Q-ubb_eKuWv28XS6-rqpWCC4qrUXXqJ70CjR0tBNMgauJokzKmsuuF-CM5rwRXNaKOWkIaUAbRk1tnOz4Gfpy8JbXHyZI2W59amEY3AhhSpZJJQSRumYFvfwP3YQpjmU6y2pac8OY1oW6OlBt-U6K0Ntd9NvSwlJin-PbEt--xC_s51fj1GyheyP_1S7A_AA8-gH275vs8vv6oPwLH-OPiQ</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Yamashita, Shimpei</creator><creator>Kawabata, Hiroki</creator><creator>Deguchi, Ryusuke</creator><creator>Ueda, Yuko</creator><creator>Higuchi, Masatoshi</creator><creator>Muraoka, Satoshi</creator><creator>Koike, Hiroyuki</creator><creator>Kikkawa, Kazuro</creator><creator>Kohjimoto, Yasuo</creator><creator>Hara, Isao</creator><general>Wiley Subscription Services, Inc</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>7QP</scope><scope>7X8</scope></search><sort><creationdate>202201</creationdate><title>Myosteatosis as a novel predictor of urinary incontinence after robot‐assisted radical prostatectomy</title><author>Yamashita, Shimpei ; Kawabata, Hiroki ; Deguchi, Ryusuke ; Ueda, Yuko ; Higuchi, Masatoshi ; Muraoka, Satoshi ; Koike, Hiroyuki ; Kikkawa, Kazuro ; Kohjimoto, Yasuo ; Hara, Isao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4434-884db7f0f7e8ed1d427ea6071255635df4ea9833b435672a5900be8921969a5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Computed tomography</topic><topic>Humans</topic><topic>Magnetic resonance imaging</topic><topic>Male</topic><topic>Muscles</topic><topic>Patients</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Prostate</topic><topic>Prostate - diagnostic imaging</topic><topic>Prostate - surgery</topic><topic>prostate cancer</topic><topic>Prostatectomy</topic><topic>Prostatectomy - adverse effects</topic><topic>Prostatic Neoplasms - surgery</topic><topic>Psoas muscle</topic><topic>Recovery of Function</topic><topic>Retrospective Studies</topic><topic>robotic surgical procedures</topic><topic>Robotic Surgical Procedures - adverse effects</topic><topic>Robotics</topic><topic>Robots</topic><topic>Sarcopenia</topic><topic>Surgery</topic><topic>Urethra</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - epidemiology</topic><topic>Urinary Incontinence - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamashita, Shimpei</creatorcontrib><creatorcontrib>Kawabata, Hiroki</creatorcontrib><creatorcontrib>Deguchi, Ryusuke</creatorcontrib><creatorcontrib>Ueda, Yuko</creatorcontrib><creatorcontrib>Higuchi, Masatoshi</creatorcontrib><creatorcontrib>Muraoka, Satoshi</creatorcontrib><creatorcontrib>Koike, Hiroyuki</creatorcontrib><creatorcontrib>Kikkawa, Kazuro</creatorcontrib><creatorcontrib>Kohjimoto, Yasuo</creatorcontrib><creatorcontrib>Hara, Isao</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamashita, Shimpei</au><au>Kawabata, Hiroki</au><au>Deguchi, Ryusuke</au><au>Ueda, Yuko</au><au>Higuchi, Masatoshi</au><au>Muraoka, Satoshi</au><au>Koike, Hiroyuki</au><au>Kikkawa, Kazuro</au><au>Kohjimoto, Yasuo</au><au>Hara, Isao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Myosteatosis as a novel predictor of urinary incontinence after robot‐assisted radical prostatectomy</atitle><jtitle>International journal of urology</jtitle><addtitle>Int J Urol</addtitle><date>2022-01</date><risdate>2022</risdate><volume>29</volume><issue>1</issue><spage>34</spage><epage>40</epage><pages>34-40</pages><issn>0919-8172</issn><issn>1442-2042</issn><eissn>1442-2042</eissn><abstract>Objectives
To evaluate the impact of sarcopenia and myosteatosis on urinary incontinence after prostatectomy.
Methods
We retrospectively reviewed consecutive patients who underwent robot‐assisted radical prostatectomy without nerve sparing between December 2012 and March 2019. Psoas muscle index and average total psoas density, which were measured on preoperative computed tomography images at level L3, were used to evaluate sarcopenia and myosteatosis, respectively. In addition, several magnetic resonance imaging variables associated with pelvic muscles, the urethra and the prostate were measured. Urinary continence was defined as non‐use or use of just one incontinence pad per day. Logistic regression analyses aimed to identify the predictors of urinary incontinence 3 and 12 months after surgery.
Results
Overall, 121 patients were included in the analysis. The incidence rates of urinary incontinence 3 and 12 months after surgery were 42% (51/121 cases) and 16% (19/121 cases), respectively. Logistic multivariable analysis showed that low average total psoas density was the only significant independent predictor of urinary incontinence 3 months after surgery (P < 0.01), and low obturator internus muscle thickness (P = 0.01), short membranous urethral length (P = 0.01) and low average total psoas density (P < 0.01) were significant independent predictors of urinary incontinence 12 months after surgery. By contrast, psoas muscle index was not statistically associated with urinary incontinence after surgery.
Conclusions
Myosteatosis (low average total psoas density) could be a novel predictor of urinary incontinence after robot‐assisted radical prostatectomy.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34535917</pmid><doi>10.1111/iju.14704</doi><tpages>41</tpages></addata></record> |
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| ispartof | International journal of urology, 2022-01, Vol.29 (1), p.34-40 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Computed tomography Humans Magnetic resonance imaging Male Muscles Patients Postoperative Complications - epidemiology Postoperative Complications - etiology Prostate Prostate - diagnostic imaging Prostate - surgery prostate cancer Prostatectomy Prostatectomy - adverse effects Prostatic Neoplasms - surgery Psoas muscle Recovery of Function Retrospective Studies robotic surgical procedures Robotic Surgical Procedures - adverse effects Robotics Robots Sarcopenia Surgery Urethra Urinary incontinence Urinary Incontinence - epidemiology Urinary Incontinence - etiology |
| title | Myosteatosis as a novel predictor of urinary incontinence after robot‐assisted radical prostatectomy |
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