Mp52-10 Association Between Robotic-Assisted Radical Prostatectomy Techniques, Bladder Neck Descent and Patient-Reported Urinary Incontinence

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy II (MP52)1 May 2024MP52-10 ASSOCIATION BETWEEN ROBOTIC-ASSISTED RADICAL PROSTATECTOMY TECHNIQUES, BLADDER NECK DESCENT AND PATIENT-REPORTED URINARY INCONTINENCE Fionna Sun, Aisha Kazeem, Kristin Reeder, Olivia Richardson, Emmett Kennady, Jessica Qiu, Grant Lardieri, Simon White, and Kirsten Greene Fionna SunFionna Sun , Aisha KazeemAisha Kazeem , Kristin ReederKristin Reeder , Olivia RichardsonOlivia Richardson , Emmett KennadyEmmett Kennady , Jessica QiuJessica Qiu , Grant LardieriGrant Lardieri , Simon WhiteSimon White , and Kirsten GreeneKirsten Greene View All Author Informationhttps://doi.org/10.1097/01.JU.0001008864.84854.b7.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The purpose of this study was to assess if there is a correlation between postoperative urinary continence, bladder neck descent (BND) and surgical technique during robot-assisted radical prostatectomy (RARP). METHODS: A retrospective review of 42 men who had a RARP and a post-operative cystogram from 2018 to 2023 at a single institution was conducted. Patients were split into two groups: those who had a standard anterior approach RARP (S-RARP) and those who had either Retzius-sparing or bladder resuspension (RBS-RARP). Primary outcomes were bladder neck descent, and patient-reported continence strict (CS) as 0 pads and lenient continence ≤1 pads (LC) at follow-up. Mean times to first and second follow-ups were 8 (±4) weeks and 6 (±3) months respectively. RESULTS: Patient characteristics are shown in Table 1. There was a significant difference in median age between the S-RARP and RBS-RARP groups, 62 years (IQR 57.8-66.8) compared to 69.5 years (66-71.8), respectively (p=.005). There were no significant differences in other patient characteristics or clinical markers. There was a significant difference in median BND between the S-RARP and RBS-RARP groups, 19.33 mm (11.3-24.6) and 9.7 mm (7.4-16.1), respectively (p=.0164). CS was significantly different between the groups; patients in the RBS-RARP group more likely to be continent at first-follow-up (p=0.0045). LC was significantly different between the S-RARP and RBS-RARP groups; patients in the RBS-RARP group were more likely to be continent at first follow-up (p=.012) and second follow-up (p=.006) (Table 2B). CONCLUSIONS: Our study suggests that surgical technique is associated with BND and patient-reported continence. This may explain the improved continence seen in newer RARP techniques such as Retzius and Hood. These results align with previous studies that identified an association between BND and continence. We are limited by the constraints of a retrospective study, cohort size, and few patients with RARPs and a post-operative cystogram. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e855 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Fionna Sun More articles by this author Aisha Kazeem More articles by this author Kristin Reeder More articles by this author Olivia Richardson More articles by this author Emmett Kennady More articles by this author Jessica Qiu More articles by this author Grant Lardieri More articles by this author Simon White More articles by this author Kirsten Greene More articles by this author Expand All Advertisement PDF downloadLoading ...