Influencing factors of postoperative urinary continence in patients with robot-assisted radical cystectomy and ileal orthotopic neobladder
10.3760/cma.j.cn115682-20210621-02708
- VernacularTitle:机器人辅助根治性膀胱切除及回肠原位新膀胱患者术后尿控影响因素分析
- Author:
Ali ZHU
1
;
Shuanbao YU
;
Yafeng FAN
;
Jiange WANG
;
Xiaoxiao ZHANG
;
Jin TAO
;
Shengzheng WANG
;
Xuanyi REN
;
Xuepei ZHANG
Author Information
1. 郑州大学第一附属医院泌尿外科，郑州 450052
- Keywords:
Bladder tumor;
Cystectomy;
Robot;
Ileal orthotopic neobladder
- From:
Chinese Journal of Modern Nursing
2022;28(18):2477-2481
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the recovery of daytime and nighttime urinary continence in patients with robotic-assisted radical cystectomy and ileal orthotopic neobladder from 1 to 60 months after surgery, and systematically analyze the influencing factors of daytime and nighttime urinary continence recovery.Methods:The convenient sampling method was used to select clinical data of 60 patients who underwent robotic-assisted radical cystectomy and ileal orthotopic neobladder by a single operator from December 2014 to January 2020 and they were followed up for daytime and nighttime use of urine pads and prognosis. A total of 44 patients were eligible for follow-up data. Satisfactory recovery of daytime and nighttime urinary continence was defined as the use of less than or equal to 1 pad, and complete recovery of daytime and nighttime urinary continence was defined as no urine leakage. The daytime and nighttime urinary continence recovery in patients with robotic-assisted radical cystectomy and ileal orthotopic neobladder was assessed at 1, 3, 6, 12, 24, 36, and 60 months. Cox regression was used to analyze the influencing factors of postoperative urinary continence recovery.Results:Cox regression multivariate analysis showed that preservation of neurovascular bundles was associated with satisfactory recovery of daytime urinary continence, satisfactory recovery of nighttime urinary continence and complete recovery of daytime urinary continence ( P<0.05) . Clevien grading of complications within 90 d could affect the satisfaction of daytime urinary control recovery. Preoperative hydronephrosis was an independent factor affecting the satisfaction of nighttime urinary continence recovery. Conclusions:Preserving neurovascular bundles is an influencing factor in promoting postoperative urinary continence recovery in patients with robotic-assisted radical cystectomy and ileal orthotopic neobladder. In addition, postoperative complications and preoperative hydronephrosis are independent factors affecting the satisfaction of daytime and nighttime urinary continence recovery, respectively, but it need to be further confirmed by multicenter prospective studies.
