Transperineal ultrasound as a reliable tool in the assessment of membranous urethra length in radical prostatectomy patients

Abstract To evaluate the usefulness of transperineal ultrasound (TPUS) as a method of membranous urethra length (MUL) measurement and investigate whether preoperative (MULpre) and postoperative (MULpost) would be associated with the degree and time of urinary continence recovery after laparoscopic r...

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Autores principales:	Kania Piotr, Mieleszko Rafał, Kuligowski Marcin, Dudka Karol, Kuca Monika, Biedrzycki Jakub, Zwolan Bartosz, Dmowski Tadeusz, Salagierski Maciej
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/91c7036909c44eea8d72891bb6fef488
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spelling	oai:doaj.org-article:91c7036909c44eea8d72891bb6fef4882021-12-02T15:23:38ZTransperineal ultrasound as a reliable tool in the assessment of membranous urethra length in radical prostatectomy patients10.1038/s41598-021-81397-z2045-2322https://doaj.org/article/91c7036909c44eea8d72891bb6fef4882021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81397-zhttps://doaj.org/toc/2045-2322Abstract To evaluate the usefulness of transperineal ultrasound (TPUS) as a method of membranous urethra length (MUL) measurement and investigate whether preoperative (MULpre) and postoperative (MULpost) would be associated with the degree and time of urinary continence recovery after laparoscopic radical prostatectomy (LRP). 84 patients who underwent LRP between January 2017 and December 2018 were selected for final analysis. All patients had preoperative and postoperative measurement of MUL in TPUS. Urinary continence was defined as no pad or a safety pad. Recovery of continence was assessed at 1, 3, 6 and 12 months after catheter removal. We prospectively analyzed correlation of MULpre, MULpost and a percent change in membranous urethral length (MULratio) with the urinary continence status. 69 (82%) patients regained continence in the follow-up of 12 months. MULpre, MULpost and MULratio assessed in TPUS were larger in subgroups of patients who regained continence earlier and in the entire continent group. Spearman rank test showed strong correlations between MULpost and MULratio (R—0.6 and R—0.56, respectively, p < 0.0001) with the time to continence recovery in the cumulative 12 months follow-up. TPUS allowed a reliable measurement of MUL before and after LRP. MULpre, MULpost as well as MULratio are related with time to regain continence and recovery rate after LRP. Sparing longest possible sphincteric urethra, with respect to oncological outcomes is a key factor in recovering continence after prostate cancer surgery.Kania PiotrMieleszko RafałKuligowski MarcinDudka KarolKuca MonikaBiedrzycki JakubZwolan BartoszDmowski TadeuszSalagierski MaciejNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kania Piotr Mieleszko Rafał Kuligowski Marcin Dudka Karol Kuca Monika Biedrzycki Jakub Zwolan Bartosz Dmowski Tadeusz Salagierski Maciej Transperineal ultrasound as a reliable tool in the assessment of membranous urethra length in radical prostatectomy patients
description	Abstract To evaluate the usefulness of transperineal ultrasound (TPUS) as a method of membranous urethra length (MUL) measurement and investigate whether preoperative (MULpre) and postoperative (MULpost) would be associated with the degree and time of urinary continence recovery after laparoscopic radical prostatectomy (LRP). 84 patients who underwent LRP between January 2017 and December 2018 were selected for final analysis. All patients had preoperative and postoperative measurement of MUL in TPUS. Urinary continence was defined as no pad or a safety pad. Recovery of continence was assessed at 1, 3, 6 and 12 months after catheter removal. We prospectively analyzed correlation of MULpre, MULpost and a percent change in membranous urethral length (MULratio) with the urinary continence status. 69 (82%) patients regained continence in the follow-up of 12 months. MULpre, MULpost and MULratio assessed in TPUS were larger in subgroups of patients who regained continence earlier and in the entire continent group. Spearman rank test showed strong correlations between MULpost and MULratio (R—0.6 and R—0.56, respectively, p < 0.0001) with the time to continence recovery in the cumulative 12 months follow-up. TPUS allowed a reliable measurement of MUL before and after LRP. MULpre, MULpost as well as MULratio are related with time to regain continence and recovery rate after LRP. Sparing longest possible sphincteric urethra, with respect to oncological outcomes is a key factor in recovering continence after prostate cancer surgery.
format	article
author	Kania Piotr Mieleszko Rafał Kuligowski Marcin Dudka Karol Kuca Monika Biedrzycki Jakub Zwolan Bartosz Dmowski Tadeusz Salagierski Maciej
author_facet	Kania Piotr Mieleszko Rafał Kuligowski Marcin Dudka Karol Kuca Monika Biedrzycki Jakub Zwolan Bartosz Dmowski Tadeusz Salagierski Maciej
author_sort	Kania Piotr
title	Transperineal ultrasound as a reliable tool in the assessment of membranous urethra length in radical prostatectomy patients
title_short	Transperineal ultrasound as a reliable tool in the assessment of membranous urethra length in radical prostatectomy patients
title_full	Transperineal ultrasound as a reliable tool in the assessment of membranous urethra length in radical prostatectomy patients
title_fullStr	Transperineal ultrasound as a reliable tool in the assessment of membranous urethra length in radical prostatectomy patients
title_full_unstemmed	Transperineal ultrasound as a reliable tool in the assessment of membranous urethra length in radical prostatectomy patients
title_sort	transperineal ultrasound as a reliable tool in the assessment of membranous urethra length in radical prostatectomy patients
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/91c7036909c44eea8d72891bb6fef488
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Transperineal ultrasound as a reliable tool in the assessment of membranous urethra length in radical prostatectomy patients

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