Analysis of influencing factors of early urinary continence after robot-assisted laparoscopic radical prostatectomy based on mpMRI
Objective:To evaluate the influencing factors of early urinary continence after robot-assisted laparoscopic radical prostatectomy based on mpMRI.Methods:35 patients underwent robot-assisted laparoscopic radical prostatectomy in the Shanghai General Hospital,Shanghai Jiao Tong University School of Medicine from December 2019 to December 2020 were selected.The urinary continence function of the patients in the early postoperative period was followed up,and risk factors affecting early postoperative urinary incontinence were analyzed.Results:The membranous urethral angle was significantly correlated with urinary continence at 1 to 3 months after surgery.The urethral wall thickness was correlated with immediate urinary continence after catheter removal and urinary continence at 2 to 3 months after surgery,while the prostate apex shapes were correlated with urinary continence function at 2 months after surgery,and prostate length was correlated with urinary continence function at 2 weeks after surgery.Prostate apical depth and the ratio of prostate apical depth were significantly correlated with the immediate urinary continence.Conclusion:Membranous urethral angle,urethral wall thickness,prostate length,prostate apex shape,prostate apical depth and prostate apical depth ratio are the influential factors of urinary incontinence after robot-assisted laparoscopic radical prostatectomy.