東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

FindBook

Google Book

Amazon

博客來

Factors Predicting the Return of Urinary Continence following Robot-Assisted Laparoscopic Prostatectomy.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Factors Predicting the Return of Urinary Continence following Robot-Assisted Laparoscopic Prostatectomy./
作者:	Gagne, Jack.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2021,
面頁冊數:	39 p.
附註:	Source: Dissertations Abstracts International, Volume: 83-05, Section: B.
Contained By:	Dissertations Abstracts International83-05B.
標題:	Surgery. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28417874
ISBN:	9798492731243

Factors Predicting the Return of Urinary Continence following Robot-Assisted Laparoscopic Prostatectomy.
Gagne, Jack.

Factors Predicting the Return of Urinary Continence following Robot-Assisted Laparoscopic Prostatectomy. - Ann Arbor : ProQuest Dissertations & Theses, 2021 - 39 p.

Source: Dissertations Abstracts International, Volume: 83-05, Section: B.

Thesis (M.D.)--Yale University, 2021.

This item must not be sold to any third party vendors.

Robot-assisted laparoscopic prostatectomy (RALP) is a potentially curative surgical intervention for men with clinically localized prostate cancer. Although RALP can provide excellent oncological outcomes, it is also associated with detrimental effects to functional outcomes, particularly urinary continence, which negatively impact post-operative quality of life. The purpose of this study is to identify the degree to which pre-operative patient factors, tumor characteristics, and surgical technique influenced the post-operative return of urinary continence in men undergoing RALP performed by a single surgeon for the treatment of clinically localized prostate cancer. We analyzed 182 consecutive patients with clinically localized prostate cancer who were treated with RALP between April 2013 and September 2020. A retrospective chart review was performed to evaluate pre-operative patient and tumor characteristics, as well as post-operative urinary continence. Achievement of urinary continence was defined as wearing no pads or an occasional security pad by patient-reported daily pad usage within 3 (early) and 12 months (late) after RALP. Postoperatively, 68 (37.3%) and 120 (78.9%) men achieved early and late recovery of continence, respectively. Multivariate logistic regression analyses revealed that Retzius sparing approach (OR 2.995; 95% CI 1.265 - 7.089; p = 0.013) and lower BMI (OR 0.823; 95% CI 0.823 - 0.988; p = 0.027) were associated with continence at 3 months post-operatively, while longer pre-operative membranous urethral length (OR 1.205; 95% CI 1.003 - 1.448; p = 0.047) and younger age (OR 0.907; 95% CI 0.824 - 0.998; p = 0.044) were associated with continence at 12 months post-operatively.

ISBN: 9798492731243Subjects--Topical Terms:

707153
Surgery.
Subjects--Index Terms:

Incontinence

Factors Predicting the Return of Urinary Continence following Robot-Assisted Laparoscopic Prostatectomy.
LDR:02845nmm a2200349 4500 001 2352010
005 20221111120952.5
008 241004s2021 ||||||||||||||||| ||eng d
020 $a 9798492731243
035 $a (MiAaPQ)AAI28417874
035 $a AAI28417874
040 $a MiAaPQ $c MiAaPQ
100 1 $a Gagne, Jack. $3 3691622
245 1 0 $a Factors Predicting the Return of Urinary Continence following Robot-Assisted Laparoscopic Prostatectomy.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2021
300 $a 39 p.
500 $a Source: Dissertations Abstracts International, Volume: 83-05, Section: B.
500 $a Advisor: Sprenkle, Preston C.
502 $a Thesis (M.D.)--Yale University, 2021.
506 $a This item must not be sold to any third party vendors.
520 $a Robot-assisted laparoscopic prostatectomy (RALP) is a potentially curative surgical intervention for men with clinically localized prostate cancer. Although RALP can provide excellent oncological outcomes, it is also associated with detrimental effects to functional outcomes, particularly urinary continence, which negatively impact post-operative quality of life. The purpose of this study is to identify the degree to which pre-operative patient factors, tumor characteristics, and surgical technique influenced the post-operative return of urinary continence in men undergoing RALP performed by a single surgeon for the treatment of clinically localized prostate cancer. We analyzed 182 consecutive patients with clinically localized prostate cancer who were treated with RALP between April 2013 and September 2020. A retrospective chart review was performed to evaluate pre-operative patient and tumor characteristics, as well as post-operative urinary continence. Achievement of urinary continence was defined as wearing no pads or an occasional security pad by patient-reported daily pad usage within 3 (early) and 12 months (late) after RALP. Postoperatively, 68 (37.3%) and 120 (78.9%) men achieved early and late recovery of continence, respectively. Multivariate logistic regression analyses revealed that Retzius sparing approach (OR 2.995; 95% CI 1.265 - 7.089; p = 0.013) and lower BMI (OR 0.823; 95% CI 0.823 - 0.988; p = 0.027) were associated with continence at 3 months post-operatively, while longer pre-operative membranous urethral length (OR 1.205; 95% CI 1.003 - 1.448; p = 0.047) and younger age (OR 0.907; 95% CI 0.824 - 0.998; p = 0.044) were associated with continence at 12 months post-operatively.
590 $a School code: 0265.
650 4 $a Surgery. $3 707153
650 4 $a Oncology. $3 751006
650 4 $a Medicine. $3 641104
653 $a Incontinence
653 $a Prostate cancer
653 $a Radical prostatectomy
690 $a 0576
690 $a 0992
690 $a 0564
710 2 $a Yale University. $b Yale School of Medicine. $3 3422308
773 0 $t Dissertations Abstracts International $g 83-05B.
790 $a 0265
791 $a M.D.
792 $a 2021
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=28417874