Novel uroflow stop test at time of catheter removal is a strong predictor of early urinary continence recovery following robotic‐assisted radical prostatectomy: A pilot study. Issue 1 (27th August 2013)

• Record Type: Journal Article
• Authors: El‐Hakim, Assaad; Al‐Hathal, Naif; Al‐Qaoud, Talal; Gagné, Ginette; Larocque, Suzanne; Denis, Ronald; Zorn, Kevin C.
• Is Part Of: Neurourology and urodynamics. Volume 34:Issue 1(2015:Jan.)
• Page Start: 60
• Page End: 64
• Publication Date: 2013-08-27
• Subjects: Urinary organs -- Periodicals; Urodynamics -- Periodicals; Urology -- Periodicals; 616.6
• DOI: 10.1002/nau.22481
• Languages: English
• ISSNs: 0733-2467

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>ABSTRACT</title> <sec id="nau22481-sec-0001" sec-type="section"> <title>Aim</title> <p> <list list-type="bullet"> <list-item id="nau22481-li-0001"> <p>To study whether the ability to completely stop urinary flow during voiding at time of catheter removal, measured objectively using uroflowmetry, can predict early recovery of urine continence following robotic‐assisted radical prostatectomy (RARP).</p> </list-item> </list> </p> </sec> <sec id="nau22481-sec-0002" sec-type="section"> <title>Materials and Methods</title> <p> <list list-type="bullet"> <list-item id="nau22481-li-0002"> <p>In this pilot study, 108 patients with a minimum of 2 years follow‐up, operated by a single surgeon (AEH) were subjected to an uroflowmetry at the time of urethral catheter removal following RARP.</p> </list-item> <list-item id="nau22481-li-0003"> <p>Normal Saline (150 ml) was instilled intravesically prior to catheter removal and patients were instructed to attempt to stop urine flow during voiding in uroflowmeter.</p> </list-item> <list-item id="nau22481-li-0004"> <p>Two groups were studied, group one with positive Stop Test (n = 80) and group two with negative Stop Test (n = 28).</p> </list-item> <list-item id="nau22481-li-0005"> <p>Covariates included age, BMI, IPSS score, PSA, tumor stage, prostate volume, nerve sparing status, and estimated blood loss.</p> </list-item> </list> </p> </sec> <sec id="nau22481-sec-0003" sec-type="section"> <title>Results</title> <p> <list list-type="bullet"> <list-item id="nau22481-li-0006"> <p>Basic characteristics were not statistically different between both groups.</p> </list-item> <list-item id="nau22481-li-0007"> <p>Early continence recovery was significantly higher in group one.</p> </list-item> <list-item id="nau22481-li-0008"> <p>Pad‐free continence rates in group one and two at 1, 3, 6, 12, 18, and 24 months were 62% vs. 7% (<italic>P</italic> < 0.001), 85% vs. 28% (<italic>P</italic> < 0.001), 93% vs. 67% (<italic>P</italic> 0.001), 93% vs. 82% (<italic>P</italic> 0.079), 97% vs. 82% (<italic>P</italic> 0.006), and 97% vs. 85% (<italic>P</italic> 0.023), respectively.</p> </list-item> <list-item id="nau22481-li-0009"> <p>Uroflow Stop Test was the only independent predictor of early urine continence recovery on univariate and multivariate regression analysis [OR 2.87 (95%CI 1.34–4.38, <italic>P</italic> = < 0.001)].</p> </list-item> </list> </p> </sec> <sec id="nau22481-sec-0004" sec-type="section"> <title>Conclusion</title> <p> <list list-type="bullet"> <list-item id="nau22481-li-0010"> <p>Novel use of uroflowmetry at time of urethral catheter removal is a simple, non‐invasive study with independent ability to predict early continence recovery following RARP. <italic>Neurourol. Urodynam. 34:60–64, 2015</italic>. © 2013 Wiley Periodicals, Inc.</p> </list-item> </list> </p> </sec> </abstract>