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Urethral Sphincter Length but Not Prostatic Apex Shape in Preoperative MRI Is Associated with Mid-Term Continence Rates after Radical Prostatectomy

Standard

Urethral Sphincter Length but Not Prostatic Apex Shape in Preoperative MRI Is Associated with Mid-Term Continence Rates after Radical Prostatectomy. / Hoeh, Benedikt; Wenzel, Mike; Müller, Matthias; Wittler, Clarissa; Schlenke, Eva; Hohenhorst, Jan L; Köllermann, Jens; Steuber, Thomas; Graefen, Markus; Tilki, Derya; Bernatz, Simon; Karakiewicz, Pierre I; Preisser, Felix; Becker, Andreas; Kluth, Luis A; Mandel, Philipp; Chun, Felix K H.

in: DIAGNOSTICS, Jahrgang 12, Nr. 3, 701, 13.03.2022.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Hoeh, B, Wenzel, M, Müller, M, Wittler, C, Schlenke, E, Hohenhorst, JL, Köllermann, J, Steuber, T, Graefen, M, Tilki, D, Bernatz, S, Karakiewicz, PI, Preisser, F, Becker, A, Kluth, LA, Mandel, P & Chun, FKH 2022, 'Urethral Sphincter Length but Not Prostatic Apex Shape in Preoperative MRI Is Associated with Mid-Term Continence Rates after Radical Prostatectomy', DIAGNOSTICS, Jg. 12, Nr. 3, 701. https://doi.org/10.3390/diagnostics12030701

APA

Hoeh, B., Wenzel, M., Müller, M., Wittler, C., Schlenke, E., Hohenhorst, J. L., Köllermann, J., Steuber, T., Graefen, M., Tilki, D., Bernatz, S., Karakiewicz, P. I., Preisser, F., Becker, A., Kluth, L. A., Mandel, P., & Chun, F. K. H. (2022). Urethral Sphincter Length but Not Prostatic Apex Shape in Preoperative MRI Is Associated with Mid-Term Continence Rates after Radical Prostatectomy. DIAGNOSTICS, 12(3), [701]. https://doi.org/10.3390/diagnostics12030701

Vancouver

Hoeh B, Wenzel M, Müller M, Wittler C, Schlenke E, Hohenhorst JL et al. Urethral Sphincter Length but Not Prostatic Apex Shape in Preoperative MRI Is Associated with Mid-Term Continence Rates after Radical Prostatectomy. DIAGNOSTICS. 2022 Mär 13;12(3). 701. https://doi.org/10.3390/diagnostics12030701

Bibtex

@article{77b2d0a5125445e3a3cbe605bbc3f056,
title = "Urethral Sphincter Length but Not Prostatic Apex Shape in Preoperative MRI Is Associated with Mid-Term Continence Rates after Radical Prostatectomy",
abstract = "Background: To test the impact of urethral sphincter length (USL) and anatomic variants of prostatic apex (Lee-type classification) in preoperative multiparametric magnet resonance imaging (mpMRI) on mid-term continence in prostate cancer patients treated with radical prostatectomy (RP). Methods: We relied on an institutional tertiary-care database to identify patients who underwent RP between 03/2018 and 12/2019 with preoperative mpMRI and data available on mid-term (>6 months post-surgery) urinary continence, defined as usage 0/1 (-safety) pad/24 h. Univariable and multivariable logistic regression models were fitted to test for predictor status of USL and prostatic apex variants, defined in mpMRI measurements. Results: Of 68 eligible patients, rate of mid-term urinary continence was 81% (n = 55). Median coronal (15.1 vs. 12.5 mm) and sagittal (15.4 vs. 11.1 mm) USL were longer in patients reporting urinary continence in mid-term follow-up (both p < 0.01). No difference was recorded for prostatic apex variants distribution (Lee-type) between continent vs. incontinent patients (p = 0.4). In separate multivariable logistic regression models, coronal (odds ratio (OR): 1.35) and sagittal (OR: 1.67) USL, but not Lee-type, were independent predictors for mid-term continence. Conclusion: USL, but not apex anatomy, in preoperative mpMRI was associated with higher rates of urinary continence at mid-term follow-up.",
author = "Benedikt Hoeh and Mike Wenzel and Matthias M{\"u}ller and Clarissa Wittler and Eva Schlenke and Hohenhorst, {Jan L} and Jens K{\"o}llermann and Thomas Steuber and Markus Graefen and Derya Tilki and Simon Bernatz and Karakiewicz, {Pierre I} and Felix Preisser and Andreas Becker and Kluth, {Luis A} and Philipp Mandel and Chun, {Felix K H}",
year = "2022",
month = mar,
day = "13",
doi = "10.3390/diagnostics12030701",
language = "English",
volume = "12",
journal = "DIAGNOSTICS",
issn = "2075-4418",
publisher = "MDPI AG",
number = "3",

}

RIS

TY - JOUR

T1 - Urethral Sphincter Length but Not Prostatic Apex Shape in Preoperative MRI Is Associated with Mid-Term Continence Rates after Radical Prostatectomy

AU - Hoeh, Benedikt

AU - Wenzel, Mike

AU - Müller, Matthias

AU - Wittler, Clarissa

AU - Schlenke, Eva

AU - Hohenhorst, Jan L

AU - Köllermann, Jens

AU - Steuber, Thomas

AU - Graefen, Markus

AU - Tilki, Derya

AU - Bernatz, Simon

AU - Karakiewicz, Pierre I

AU - Preisser, Felix

AU - Becker, Andreas

AU - Kluth, Luis A

AU - Mandel, Philipp

AU - Chun, Felix K H

PY - 2022/3/13

Y1 - 2022/3/13

N2 - Background: To test the impact of urethral sphincter length (USL) and anatomic variants of prostatic apex (Lee-type classification) in preoperative multiparametric magnet resonance imaging (mpMRI) on mid-term continence in prostate cancer patients treated with radical prostatectomy (RP). Methods: We relied on an institutional tertiary-care database to identify patients who underwent RP between 03/2018 and 12/2019 with preoperative mpMRI and data available on mid-term (>6 months post-surgery) urinary continence, defined as usage 0/1 (-safety) pad/24 h. Univariable and multivariable logistic regression models were fitted to test for predictor status of USL and prostatic apex variants, defined in mpMRI measurements. Results: Of 68 eligible patients, rate of mid-term urinary continence was 81% (n = 55). Median coronal (15.1 vs. 12.5 mm) and sagittal (15.4 vs. 11.1 mm) USL were longer in patients reporting urinary continence in mid-term follow-up (both p < 0.01). No difference was recorded for prostatic apex variants distribution (Lee-type) between continent vs. incontinent patients (p = 0.4). In separate multivariable logistic regression models, coronal (odds ratio (OR): 1.35) and sagittal (OR: 1.67) USL, but not Lee-type, were independent predictors for mid-term continence. Conclusion: USL, but not apex anatomy, in preoperative mpMRI was associated with higher rates of urinary continence at mid-term follow-up.

AB - Background: To test the impact of urethral sphincter length (USL) and anatomic variants of prostatic apex (Lee-type classification) in preoperative multiparametric magnet resonance imaging (mpMRI) on mid-term continence in prostate cancer patients treated with radical prostatectomy (RP). Methods: We relied on an institutional tertiary-care database to identify patients who underwent RP between 03/2018 and 12/2019 with preoperative mpMRI and data available on mid-term (>6 months post-surgery) urinary continence, defined as usage 0/1 (-safety) pad/24 h. Univariable and multivariable logistic regression models were fitted to test for predictor status of USL and prostatic apex variants, defined in mpMRI measurements. Results: Of 68 eligible patients, rate of mid-term urinary continence was 81% (n = 55). Median coronal (15.1 vs. 12.5 mm) and sagittal (15.4 vs. 11.1 mm) USL were longer in patients reporting urinary continence in mid-term follow-up (both p < 0.01). No difference was recorded for prostatic apex variants distribution (Lee-type) between continent vs. incontinent patients (p = 0.4). In separate multivariable logistic regression models, coronal (odds ratio (OR): 1.35) and sagittal (OR: 1.67) USL, but not Lee-type, were independent predictors for mid-term continence. Conclusion: USL, but not apex anatomy, in preoperative mpMRI was associated with higher rates of urinary continence at mid-term follow-up.

U2 - 10.3390/diagnostics12030701

DO - 10.3390/diagnostics12030701

M3 - SCORING: Journal article

C2 - 35328254

VL - 12

JO - DIAGNOSTICS

JF - DIAGNOSTICS

SN - 2075-4418

IS - 3

M1 - 701

ER -