Urodynamic assessment of bladder and urethral function among men with lower urinary tract symptoms after radical prostatectomy: A comparison between men with and without urinary incontinence
We compared bladder and urethral functions following radical prostatectomy (RP) between men with and without urinary incontinence (UI), using a large-scale database from SNU-experts-of-urodynamics-leading (SEOUL) Study Group. Since July 2004, we have prospectively collected data on urodynamics from...
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| Veröffentlicht in: | Investigative and clinical urology 2015, 56(12), , pp.803-810 |
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| creator | Lee, Hansol Kim, Ki Bom Lee, Sangchul Lee, Sang Wook Kim, Myong Cho, Sung Yong Oh, Seung-June Jeong, Seong Jin |
| description | We compared bladder and urethral functions following radical prostatectomy (RP) between men with and without urinary incontinence (UI), using a large-scale database from SNU-experts-of-urodynamics-leading (SEOUL) Study Group.
Since July 2004, we have prospectively collected data on urodynamics from 303 patients with lower urinary tract symptoms (LUTS) following RP at three affiliated hospitals of SEOUL Study Group. After excluding 35 patients with neurogenic abnormality, pelvic irradiation after surgery, or a history of surgery on the lower urinary tract, 268 men were evaluated. We compared the urodynamic findings between men who had LUTS with UI (postprostatectomy incontinence [PPI] group) and those who had LUTS without UI (non-PPI group).
The mean age at an urodynamic study was 68.2 years. Overall, a reduced bladder compliance (≤20 mL/cmH2O) was shown in 27.2% of patients; and 31.3% patients had idiopathic detrusor overactivity. The patients in the PPI group were older (p=0.001) at an urodynamic study and had a lower maximum urethral closure pressure (MUCP) (p |
| doi_str_mv | 10.4111/kju.2015.56.12.803 |
| format | Article |
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Since July 2004, we have prospectively collected data on urodynamics from 303 patients with lower urinary tract symptoms (LUTS) following RP at three affiliated hospitals of SEOUL Study Group. After excluding 35 patients with neurogenic abnormality, pelvic irradiation after surgery, or a history of surgery on the lower urinary tract, 268 men were evaluated. We compared the urodynamic findings between men who had LUTS with UI (postprostatectomy incontinence [PPI] group) and those who had LUTS without UI (non-PPI group).
The mean age at an urodynamic study was 68.2 years. Overall, a reduced bladder compliance (≤20 mL/cmH2O) was shown in 27.2% of patients; and 31.3% patients had idiopathic detrusor overactivity. The patients in the PPI group were older (p=0.001) at an urodynamic study and had a lower maximum urethral closure pressure (MUCP) (p<0.001), as compared with those in the non-PPI group. Bladder capacity and detrusor pressure during voiding were also significantly lower in the PPI group. In the logistic regression, only MUCP and maximum cystometric capacity were identified as the related factor with the presence of PPI.
In our study, significant number of patients with LUTS following RP showed a reduced bladder compliance and detrusor overactivity. PPI is associated with both impairment of the urethral closuring mechanism and bladder storage dysfunction.</description><identifier>ISSN: 2005-6737</identifier><identifier>ISSN: 2466-0493</identifier><identifier>EISSN: 2005-6745</identifier><identifier>EISSN: 2466-054X</identifier><identifier>DOI: 10.4111/kju.2015.56.12.803</identifier><identifier>PMID: 26682020</identifier><language>eng</language><publisher>Korea (South): The Korean Urological Association</publisher><subject>Aged ; Humans ; Male ; Middle Aged ; Original ; Prospective Studies ; Prostatectomy - adverse effects ; Prostatectomy - methods ; Urethra - physiopathology ; Urinary Bladder - physiopathology ; Urinary Bladder, Overactive - complications ; Urinary Incontinence - etiology ; Urinary Incontinence - physiopathology ; Urodynamics - physiology ; 비뇨기과학</subject><ispartof>Investigative and Clinical Urology, 2015, 56(12), , pp.803-810</ispartof><rights>The Korean Urological Association, 2015 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-9a2a364bd21770c9305ad016103e54518948d214fcccfdae0050c113e271769b3</citedby><cites>FETCH-LOGICAL-c435t-9a2a364bd21770c9305ad016103e54518948d214fcccfdae0050c113e271769b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681757/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4681757/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26682020$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART002057155$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Hansol</creatorcontrib><creatorcontrib>Kim, Ki Bom</creatorcontrib><creatorcontrib>Lee, Sangchul</creatorcontrib><creatorcontrib>Lee, Sang Wook</creatorcontrib><creatorcontrib>Kim, Myong</creatorcontrib><creatorcontrib>Cho, Sung Yong</creatorcontrib><creatorcontrib>Oh, Seung-June</creatorcontrib><creatorcontrib>Jeong, Seong Jin</creatorcontrib><title>Urodynamic assessment of bladder and urethral function among men with lower urinary tract symptoms after radical prostatectomy: A comparison between men with and without urinary incontinence</title><title>Investigative and clinical urology</title><addtitle>Korean J Urol</addtitle><description>We compared bladder and urethral functions following radical prostatectomy (RP) between men with and without urinary incontinence (UI), using a large-scale database from SNU-experts-of-urodynamics-leading (SEOUL) Study Group.
Since July 2004, we have prospectively collected data on urodynamics from 303 patients with lower urinary tract symptoms (LUTS) following RP at three affiliated hospitals of SEOUL Study Group. After excluding 35 patients with neurogenic abnormality, pelvic irradiation after surgery, or a history of surgery on the lower urinary tract, 268 men were evaluated. We compared the urodynamic findings between men who had LUTS with UI (postprostatectomy incontinence [PPI] group) and those who had LUTS without UI (non-PPI group).
The mean age at an urodynamic study was 68.2 years. Overall, a reduced bladder compliance (≤20 mL/cmH2O) was shown in 27.2% of patients; and 31.3% patients had idiopathic detrusor overactivity. The patients in the PPI group were older (p=0.001) at an urodynamic study and had a lower maximum urethral closure pressure (MUCP) (p<0.001), as compared with those in the non-PPI group. Bladder capacity and detrusor pressure during voiding were also significantly lower in the PPI group. In the logistic regression, only MUCP and maximum cystometric capacity were identified as the related factor with the presence of PPI.
In our study, significant number of patients with LUTS following RP showed a reduced bladder compliance and detrusor overactivity. PPI is associated with both impairment of the urethral closuring mechanism and bladder storage dysfunction.</description><subject>Aged</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Prospective Studies</subject><subject>Prostatectomy - adverse effects</subject><subject>Prostatectomy - methods</subject><subject>Urethra - physiopathology</subject><subject>Urinary Bladder - physiopathology</subject><subject>Urinary Bladder, Overactive - complications</subject><subject>Urinary Incontinence - etiology</subject><subject>Urinary Incontinence - physiopathology</subject><subject>Urodynamics - physiology</subject><subject>비뇨기과학</subject><issn>2005-6737</issn><issn>2466-0493</issn><issn>2005-6745</issn><issn>2466-054X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUk1v1DAUjBCIVm3_AAfkI5cN_k7CAWlVUahUCalqz5bjOF13EzvYDqv9c_1tvN2FAL48SzNv3mg0RfGO4JITQj5un-eSYiJKIUtCyxqzV8U5xVisZMXF6-XPqrPiKqVnDI_RmjfibXFGpawppvi8eHmModt7PTqDdEo2pdH6jEKP2kF3nY1I-w7N0eZN1APqZ2-yCx7pMfgnBFy0c3mDhrAD6hyd13GPctQmo7QfpxzGhHSfAYy6cwYkphhS1tkawPaf0BqZME46ugSqrc07C5qL7uH44RPmvKg7b4LPzltv7GXxptdDsle_50XxePPl4frb6u7719vr9d3KcCbyqtFUM8nbjpKqwqZhWOgOE0kws4ILUje8Boz3xpi-0xaiw4YQZmlFKtm07KL4cNL1sVdb41TQ7jifgtpGtb5_uFVCMokZUD-fqNPcjrYzECckp6boRnB_XPwf8W4DMj8VlzWpRPX3FiT1Y7Ypq9ElY4dBexvmpICEOeMN5UClJ6qBUFO0_XKGYHWoiYKaqENNwJ0iVNVHg-__Nbis_CkF-wWVkr8i</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Lee, Hansol</creator><creator>Kim, Ki Bom</creator><creator>Lee, Sangchul</creator><creator>Lee, Sang Wook</creator><creator>Kim, Myong</creator><creator>Cho, Sung Yong</creator><creator>Oh, Seung-June</creator><creator>Jeong, Seong Jin</creator><general>The Korean Urological Association</general><general>대한비뇨의학회</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><scope>5PM</scope><scope>ACYCR</scope></search><sort><creationdate>20151201</creationdate><title>Urodynamic assessment of bladder and urethral function among men with lower urinary tract symptoms after radical prostatectomy: A comparison between men with and without urinary incontinence</title><author>Lee, Hansol ; Kim, Ki Bom ; Lee, Sangchul ; Lee, Sang Wook ; Kim, Myong ; Cho, Sung Yong ; Oh, Seung-June ; Jeong, Seong Jin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-9a2a364bd21770c9305ad016103e54518948d214fcccfdae0050c113e271769b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Prospective Studies</topic><topic>Prostatectomy - adverse effects</topic><topic>Prostatectomy - methods</topic><topic>Urethra - physiopathology</topic><topic>Urinary Bladder - physiopathology</topic><topic>Urinary Bladder, Overactive - complications</topic><topic>Urinary Incontinence - etiology</topic><topic>Urinary Incontinence - physiopathology</topic><topic>Urodynamics - physiology</topic><topic>비뇨기과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Hansol</creatorcontrib><creatorcontrib>Kim, Ki Bom</creatorcontrib><creatorcontrib>Lee, Sangchul</creatorcontrib><creatorcontrib>Lee, Sang Wook</creatorcontrib><creatorcontrib>Kim, Myong</creatorcontrib><creatorcontrib>Cho, Sung Yong</creatorcontrib><creatorcontrib>Oh, Seung-June</creatorcontrib><creatorcontrib>Jeong, Seong Jin</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><collection>PubMed Central (Full Participant titles)</collection><collection>Korean Citation Index</collection><jtitle>Investigative and clinical urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Hansol</au><au>Kim, Ki Bom</au><au>Lee, Sangchul</au><au>Lee, Sang Wook</au><au>Kim, Myong</au><au>Cho, Sung Yong</au><au>Oh, Seung-June</au><au>Jeong, Seong Jin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urodynamic assessment of bladder and urethral function among men with lower urinary tract symptoms after radical prostatectomy: A comparison between men with and without urinary incontinence</atitle><jtitle>Investigative and clinical urology</jtitle><addtitle>Korean J Urol</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>56</volume><issue>12</issue><spage>803</spage><epage>810</epage><pages>803-810</pages><issn>2005-6737</issn><issn>2466-0493</issn><eissn>2005-6745</eissn><eissn>2466-054X</eissn><abstract>We compared bladder and urethral functions following radical prostatectomy (RP) between men with and without urinary incontinence (UI), using a large-scale database from SNU-experts-of-urodynamics-leading (SEOUL) Study Group.
Since July 2004, we have prospectively collected data on urodynamics from 303 patients with lower urinary tract symptoms (LUTS) following RP at three affiliated hospitals of SEOUL Study Group. After excluding 35 patients with neurogenic abnormality, pelvic irradiation after surgery, or a history of surgery on the lower urinary tract, 268 men were evaluated. We compared the urodynamic findings between men who had LUTS with UI (postprostatectomy incontinence [PPI] group) and those who had LUTS without UI (non-PPI group).
The mean age at an urodynamic study was 68.2 years. Overall, a reduced bladder compliance (≤20 mL/cmH2O) was shown in 27.2% of patients; and 31.3% patients had idiopathic detrusor overactivity. The patients in the PPI group were older (p=0.001) at an urodynamic study and had a lower maximum urethral closure pressure (MUCP) (p<0.001), as compared with those in the non-PPI group. Bladder capacity and detrusor pressure during voiding were also significantly lower in the PPI group. In the logistic regression, only MUCP and maximum cystometric capacity were identified as the related factor with the presence of PPI.
In our study, significant number of patients with LUTS following RP showed a reduced bladder compliance and detrusor overactivity. PPI is associated with both impairment of the urethral closuring mechanism and bladder storage dysfunction.</abstract><cop>Korea (South)</cop><pub>The Korean Urological Association</pub><pmid>26682020</pmid><doi>10.4111/kju.2015.56.12.803</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2005-6737 |
| ispartof | Investigative and Clinical Urology, 2015, 56(12), , pp.803-810 |
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| language | eng |
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| source | KoreaMed Synapse; MEDLINE; PubMed Central Open Access; KoreaMed Open Access; PubMed Central |
| subjects | Aged Humans Male Middle Aged Original Prospective Studies Prostatectomy - adverse effects Prostatectomy - methods Urethra - physiopathology Urinary Bladder - physiopathology Urinary Bladder, Overactive - complications Urinary Incontinence - etiology Urinary Incontinence - physiopathology Urodynamics - physiology 비뇨기과학 |
| title | Urodynamic assessment of bladder and urethral function among men with lower urinary tract symptoms after radical prostatectomy: A comparison between men with and without urinary incontinence |
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