| Comprehensive Prediction Model of Urinary Incontinence One Year following Robot-Assisted Radical Prostatectomy. | |
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MedLine Citation:
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PMID: 23207744 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objectives: Urinary incontinence (UI) still remains one of the major functional complications after robot-assisted radical prostatectomy (RARP). As the cause for UI is multifactorial, it is quite difficult to make a prediction preoperatively. Considering intraoperative and postoperative risk factors, besides the preoperative ones, we designed an incontinence prediction model, administered 1 month after the surgery, in order to identify incontinent patients at 1 year. Patients and Methods: We retrospectively reviewed 244 patients who underwent RARP at our institution. Only 209 patients had sufficient data, a 1-year follow-up and were continent preoperatively. The association of UI with the risk factors was assessed by univariable and multivariable regression models. Results: There was a 17.2% global UI rate at 1 year after RARP. Only age-adjusted Charlson comorbidity index, erectile function assessed by International Index of Erectile Function-5, prostate volume, nerve-sparing status and 24-hour urine loss at 1 month correlated with UI (p = 0.032, 0.009, 0.031, 0.018 and <0.001, respectively). The accuracy of the prediction model of UI was 92.8% (c-index), with an area under the curve of 91.9%. Conclusion: Age-adjusted Charlson comorbidity index, International Index of Erectile Function-5, prostate volume, nerve-sparing status and 24-hour urine loss at 1 month after RARP can predict an individual's risk of UI at 1 year after RARP with good accuracy. Further external validation is required in order to generalize the use of this model. |
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Authors:
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Ovidiu-Spiru Barnoiu; Francisco Baron Lopez; Emilio Garcia Galisteo; Jorge Soler Martinez; Raul Vozmediano Chicharro; Jose Maria Del Rosal Samaniego; Javier Machuca Santacruz; Pablo Navarro Vilchez; Javier Sanchez Luque; Carlos Bautista Vidal; Pablo Gomez Lechuga; Victor Baena Gonzalez |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-11-30 |
Journal Detail:
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Title: Urologia internationalis Volume: - ISSN: 1423-0399 ISO Abbreviation: Urol. Int. Publication Date: 2012 Nov |
Date Detail:
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Created Date: 2012-12-4 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0417373 Medline TA: Urol Int Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2012 S. Karger AG, Basel. |
Affiliation:
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Carlos Haya Hospital, Malaga, Spain. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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