Does urethral length affect continence outcomes following robot assisted laparoscopic radical prostatectomy (RALP)?
(2020, Full Text)
From the Abstract:
MUL had no effect on baseline continence but had a positive and significant association with continence outcomes over 12 months post RALP."
From the Full Text:
This is one of the largest studies investigating continence outcomes in patients undergoing RALP and its association with MUL. Strict inclusion criteria and definitions of continence provide the basis for an accurate analysis of post-operative continence outcomes. Membranous urethral length had no effect on baseline urinary incontinence but had a positive and significant association with continence outcomes over 12 months post RALP. The findings of this study will aid in pre-RALP assessment of patients, particularly where clinicians can employ an evidence-based approach to counselling patients regarding incontinence and recovery times based on MUL measurements. By educating patients who might take longer to regain continence based on their MUL measurements, this could potentially improve their psychological well-being and subsequently their overall quality of life. Future studies measuring ‘bother’ scores of the EPIC questionnaire could test the efficacy of such counselling."
_______________________________________________Postoperative membranous urethral length is the single most important surgical factor predicting recovery of postoperative urinary continence
(2020, Full Text)
Our study highlights the importance of saving the MUL as long as possible in terms of continence recovery. This holds true for ORP even in the era of RARP and surgeons should not simply give up the prospect of early urinary continence in exchange for the patient's choice of ORP instead of RARP."