Pelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques

Pelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques

Abstract Radical prostatectomy (RP) is the gold standard for the treatment of localized PCa. A meta-analysis was conducted to evaluate the effect of different techniques of pelvic floor reconstruction on urinary continence. A comprehensive search was made for trials that evaluated the efficacy of pe...

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Autores principales: Jianfeng Cui, Hu Guo, Yan Li, Shouzhen Chen, Yaofeng Zhu, Shiyu Wang, Yong Wang, Xigao Liu, Wenbo Wang, Jie Han, Pengxiang Chen, Shuping Nie, Gang Yin, Benkang Shi
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/3f7d44ffd01b46148c12c72fae4cefb1
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spelling oai:doaj.org-article:3f7d44ffd01b46148c12c72fae4cefb12021-12-02T11:40:30ZPelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques10.1038/s41598-017-02991-82045-2322https://doaj.org/article/3f7d44ffd01b46148c12c72fae4cefb12017-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-02991-8https://doaj.org/toc/2045-2322Abstract Radical prostatectomy (RP) is the gold standard for the treatment of localized PCa. A meta-analysis was conducted to evaluate the effect of different techniques of pelvic floor reconstruction on urinary continence. A comprehensive search was made for trials that evaluated the efficacy of pelvic floor reconstruction. Relevant databases included PubMed, Embase, Cochrane, Ovid, Web of Science databases and relevant trials from the references. Random-effects model was used to estimate risk ratios (RRs) statistics. Pooled results of patients treated with posterior reconstruction (PR) demonstrated complete urinary continence improved at 1–4, 28–42, 90, 180 and 360 days following catheter removal. Anterior suspension (AS) was associated with improvement only at 28–42 days. The anterior reconstruction (AR) + PR was associated with urinary continence at 1–4, 90 and 180 days. AS + PR was not associated with any benefit. And PR improved social urinary continence at 7–14 and 28–42 days. No benefit was associated with AS. AR + PR had better outcomes at 90 and 180 days. AS + PR was significant improved at 28–42 and 90 days. Patients who underwent RP and PR had the least urinary incontinence. No significant benefit was observed after AS. AR + PR and AS + PR had little benefit in the post-operative period.Jianfeng CuiHu GuoYan LiShouzhen ChenYaofeng ZhuShiyu WangYong WangXigao LiuWenbo WangJie HanPengxiang ChenShuping NieGang YinBenkang ShiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-14 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jianfeng Cui
Hu Guo
Yan Li
Shouzhen Chen
Yaofeng Zhu
Shiyu Wang
Yong Wang
Xigao Liu
Wenbo Wang
Jie Han
Pengxiang Chen
Shuping Nie
Gang Yin
Benkang Shi
Pelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques
description Abstract Radical prostatectomy (RP) is the gold standard for the treatment of localized PCa. A meta-analysis was conducted to evaluate the effect of different techniques of pelvic floor reconstruction on urinary continence. A comprehensive search was made for trials that evaluated the efficacy of pelvic floor reconstruction. Relevant databases included PubMed, Embase, Cochrane, Ovid, Web of Science databases and relevant trials from the references. Random-effects model was used to estimate risk ratios (RRs) statistics. Pooled results of patients treated with posterior reconstruction (PR) demonstrated complete urinary continence improved at 1–4, 28–42, 90, 180 and 360 days following catheter removal. Anterior suspension (AS) was associated with improvement only at 28–42 days. The anterior reconstruction (AR) + PR was associated with urinary continence at 1–4, 90 and 180 days. AS + PR was not associated with any benefit. And PR improved social urinary continence at 7–14 and 28–42 days. No benefit was associated with AS. AR + PR had better outcomes at 90 and 180 days. AS + PR was significant improved at 28–42 and 90 days. Patients who underwent RP and PR had the least urinary incontinence. No significant benefit was observed after AS. AR + PR and AS + PR had little benefit in the post-operative period.
format article
author Jianfeng Cui
Hu Guo
Yan Li
Shouzhen Chen
Yaofeng Zhu
Shiyu Wang
Yong Wang
Xigao Liu
Wenbo Wang
Jie Han
Pengxiang Chen
Shuping Nie
Gang Yin
Benkang Shi
author_facet Jianfeng Cui
Hu Guo
Yan Li
Shouzhen Chen
Yaofeng Zhu
Shiyu Wang
Yong Wang
Xigao Liu
Wenbo Wang
Jie Han
Pengxiang Chen
Shuping Nie
Gang Yin
Benkang Shi
author_sort Jianfeng Cui
title Pelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques
title_short Pelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques
title_full Pelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques
title_fullStr Pelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques
title_full_unstemmed Pelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques
title_sort pelvic floor reconstruction after radical prostatectomy: a systematic review and meta-analysis of different surgical techniques
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/3f7d44ffd01b46148c12c72fae4cefb1
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AT gangyin pelvicfloorreconstructionafterradicalprostatectomyasystematicreviewandmetaanalysisofdifferentsurgicaltechniques
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