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Effect of prostatic apex shape (Lee types) and urethral sphincter length in preoperative MRI on very early continence rates after radical prostatectomy

Standard

Effect of prostatic apex shape (Lee types) and urethral sphincter length in preoperative MRI on very early continence rates after radical prostatectomy. / Wenzel, Mike; Preisser, Felix; Mueller, Matthias; Theissen, Lena H; Welte, Maria N; Hoeh, Benedikt; Humke, Clara; Bernatz, Simon; Bodelle, Boris; Würnschimmel, Christoph; Tilki, Derya; Huland, Hartwig; Graefen, Markus; Roos, Frederik C; Becker, Andreas; Karakiewicz, Pierre I; Chun, Felix K H; Kluth, Luis A; Mandel, Philipp.

In: INT UROL NEPHROL, Vol. 53, No. 7, 07.2021, p. 1297-1303.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Wenzel, M, Preisser, F, Mueller, M, Theissen, LH, Welte, MN, Hoeh, B, Humke, C, Bernatz, S, Bodelle, B, Würnschimmel, C, Tilki, D, Huland, H, Graefen, M, Roos, FC, Becker, A, Karakiewicz, PI, Chun, FKH, Kluth, LA & Mandel, P 2021, 'Effect of prostatic apex shape (Lee types) and urethral sphincter length in preoperative MRI on very early continence rates after radical prostatectomy', INT UROL NEPHROL, vol. 53, no. 7, pp. 1297-1303. https://doi.org/10.1007/s11255-021-02809-7

APA

Wenzel, M., Preisser, F., Mueller, M., Theissen, L. H., Welte, M. N., Hoeh, B., Humke, C., Bernatz, S., Bodelle, B., Würnschimmel, C., Tilki, D., Huland, H., Graefen, M., Roos, F. C., Becker, A., Karakiewicz, P. I., Chun, F. K. H., Kluth, L. A., & Mandel, P. (2021). Effect of prostatic apex shape (Lee types) and urethral sphincter length in preoperative MRI on very early continence rates after radical prostatectomy. INT UROL NEPHROL, 53(7), 1297-1303. https://doi.org/10.1007/s11255-021-02809-7

Vancouver

Wenzel M, Preisser F, Mueller M, Theissen LH, Welte MN, Hoeh B et al. Effect of prostatic apex shape (Lee types) and urethral sphincter length in preoperative MRI on very early continence rates after radical prostatectomy. INT UROL NEPHROL. 2021 Jul;53(7):1297-1303. https://doi.org/10.1007/s11255-021-02809-7

Bibtex

@article{49e7fd1a0b0740cf9c3bfdb287b8b145,
title = "Effect of prostatic apex shape (Lee types) and urethral sphincter length in preoperative MRI on very early continence rates after radical prostatectomy",
abstract = "PURPOSE: To test the effect of anatomic variants of the prostatic apex overlapping the membranous urethra (Lee type classification), as well as median urethral sphincter length (USL) in preoperative multiparametric magnetic resonance imaging (mpMRI) on the very early continence in open (ORP) and robotic-assisted radical prostatectomy (RARP) patients.METHODS: In 128 consecutive patients (01/2018-12/2019), USL and the prostatic apex classified according to Lee types A-D in mpMRI prior to ORP or RARP were retrospectively analyzed. Uni- and multivariable logistic regression models were used to identify anatomic characteristics for very early continence rates, defined as urine loss of ≤ 1 g in the PAD-test.RESULTS: Of 128 patients with mpMRI prior to surgery, 76 (59.4%) underwent RARP vs. 52 (40.6%) ORP. In total, median USL was 15, 15 and 10 mm in the sagittal, coronal and axial dimensions. After stratification according to very early continence in the PAD-test (≤ 1 g vs. > 1 g), continent patients had significantly more frequently Lee type D (71.4 vs. 54.4%) and C (14.3 vs. 7.6%, p = 0.03). In multivariable logistic regression models, the sagittal median USL (odds ratio [OR] 1.03) and Lee type C (OR: 7.0) and D (OR: 4.9) were independent predictors for achieving very early continence in the PAD-test.CONCLUSION: Patients' individual anatomical characteristics in mpMRI prior to radical prostatectomy can be used to predict very early continence. Lee type C and D suggest being the most favorable anatomical characteristics. Moreover, longer sagittal median USL in mpMRI seems to improve very early continence rates.",
keywords = "Aged, Anatomic Variation, Humans, Male, Middle Aged, Multiparametric Magnetic Resonance Imaging, Organ Size, Postoperative Complications/epidemiology, Preoperative Period, Prostate/anatomy & histology, Prostatectomy/methods, Prostatic Neoplasms/surgery, Retrospective Studies, Time Factors, Urethra/anatomy & histology, Urinary Incontinence/epidemiology",
author = "Mike Wenzel and Felix Preisser and Matthias Mueller and Theissen, {Lena H} and Welte, {Maria N} and Benedikt Hoeh and Clara Humke and Simon Bernatz and Boris Bodelle and Christoph W{\"u}rnschimmel and Derya Tilki and Hartwig Huland and Markus Graefen and Roos, {Frederik C} and Andreas Becker and Karakiewicz, {Pierre I} and Chun, {Felix K H} and Kluth, {Luis A} and Philipp Mandel",
year = "2021",
month = jul,
doi = "10.1007/s11255-021-02809-7",
language = "English",
volume = "53",
pages = "1297--1303",
journal = "INT UROL NEPHROL",
issn = "0301-1623",
publisher = "Springer Netherlands",
number = "7",

}

RIS

TY - JOUR

T1 - Effect of prostatic apex shape (Lee types) and urethral sphincter length in preoperative MRI on very early continence rates after radical prostatectomy

AU - Wenzel, Mike

AU - Preisser, Felix

AU - Mueller, Matthias

AU - Theissen, Lena H

AU - Welte, Maria N

AU - Hoeh, Benedikt

AU - Humke, Clara

AU - Bernatz, Simon

AU - Bodelle, Boris

AU - Würnschimmel, Christoph

AU - Tilki, Derya

AU - Huland, Hartwig

AU - Graefen, Markus

AU - Roos, Frederik C

AU - Becker, Andreas

AU - Karakiewicz, Pierre I

AU - Chun, Felix K H

AU - Kluth, Luis A

AU - Mandel, Philipp

PY - 2021/7

Y1 - 2021/7

N2 - PURPOSE: To test the effect of anatomic variants of the prostatic apex overlapping the membranous urethra (Lee type classification), as well as median urethral sphincter length (USL) in preoperative multiparametric magnetic resonance imaging (mpMRI) on the very early continence in open (ORP) and robotic-assisted radical prostatectomy (RARP) patients.METHODS: In 128 consecutive patients (01/2018-12/2019), USL and the prostatic apex classified according to Lee types A-D in mpMRI prior to ORP or RARP were retrospectively analyzed. Uni- and multivariable logistic regression models were used to identify anatomic characteristics for very early continence rates, defined as urine loss of ≤ 1 g in the PAD-test.RESULTS: Of 128 patients with mpMRI prior to surgery, 76 (59.4%) underwent RARP vs. 52 (40.6%) ORP. In total, median USL was 15, 15 and 10 mm in the sagittal, coronal and axial dimensions. After stratification according to very early continence in the PAD-test (≤ 1 g vs. > 1 g), continent patients had significantly more frequently Lee type D (71.4 vs. 54.4%) and C (14.3 vs. 7.6%, p = 0.03). In multivariable logistic regression models, the sagittal median USL (odds ratio [OR] 1.03) and Lee type C (OR: 7.0) and D (OR: 4.9) were independent predictors for achieving very early continence in the PAD-test.CONCLUSION: Patients' individual anatomical characteristics in mpMRI prior to radical prostatectomy can be used to predict very early continence. Lee type C and D suggest being the most favorable anatomical characteristics. Moreover, longer sagittal median USL in mpMRI seems to improve very early continence rates.

AB - PURPOSE: To test the effect of anatomic variants of the prostatic apex overlapping the membranous urethra (Lee type classification), as well as median urethral sphincter length (USL) in preoperative multiparametric magnetic resonance imaging (mpMRI) on the very early continence in open (ORP) and robotic-assisted radical prostatectomy (RARP) patients.METHODS: In 128 consecutive patients (01/2018-12/2019), USL and the prostatic apex classified according to Lee types A-D in mpMRI prior to ORP or RARP were retrospectively analyzed. Uni- and multivariable logistic regression models were used to identify anatomic characteristics for very early continence rates, defined as urine loss of ≤ 1 g in the PAD-test.RESULTS: Of 128 patients with mpMRI prior to surgery, 76 (59.4%) underwent RARP vs. 52 (40.6%) ORP. In total, median USL was 15, 15 and 10 mm in the sagittal, coronal and axial dimensions. After stratification according to very early continence in the PAD-test (≤ 1 g vs. > 1 g), continent patients had significantly more frequently Lee type D (71.4 vs. 54.4%) and C (14.3 vs. 7.6%, p = 0.03). In multivariable logistic regression models, the sagittal median USL (odds ratio [OR] 1.03) and Lee type C (OR: 7.0) and D (OR: 4.9) were independent predictors for achieving very early continence in the PAD-test.CONCLUSION: Patients' individual anatomical characteristics in mpMRI prior to radical prostatectomy can be used to predict very early continence. Lee type C and D suggest being the most favorable anatomical characteristics. Moreover, longer sagittal median USL in mpMRI seems to improve very early continence rates.

KW - Aged

KW - Anatomic Variation

KW - Humans

KW - Male

KW - Middle Aged

KW - Multiparametric Magnetic Resonance Imaging

KW - Organ Size

KW - Postoperative Complications/epidemiology

KW - Preoperative Period

KW - Prostate/anatomy & histology

KW - Prostatectomy/methods

KW - Prostatic Neoplasms/surgery

KW - Retrospective Studies

KW - Time Factors

KW - Urethra/anatomy & histology

KW - Urinary Incontinence/epidemiology

U2 - 10.1007/s11255-021-02809-7

DO - 10.1007/s11255-021-02809-7

M3 - SCORING: Journal article

C2 - 33606155

VL - 53

SP - 1297

EP - 1303

JO - INT UROL NEPHROL

JF - INT UROL NEPHROL

SN - 0301-1623

IS - 7

ER -