A prospective study using questionnaires and urodynamic assessments to evaluate bladder function and continence changes after robotic assisted radical prostatectomy
Abstract Post-prostatectomy continence status, in addition to lower urinary tract symptoms, is a major concern among patients after robotic-assisted radical prostatectomy (RaRP). In this prospective study, we enrolled patients undergoing RaRP to evaluate subjective urinary symptoms and objective uro...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2025-04-01
|
| Series: | Scientific Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1038/s41598-025-97234-6 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850183967738691584 |
|---|---|
| author | Ping-Hsuan Yu Chih-Chieh Lin Hsiao-Jen Chung Tzu-Ping Lin Eric Yi-Hsiu Huang Tzu-Hao Huang William J. Huang |
| author_facet | Ping-Hsuan Yu Chih-Chieh Lin Hsiao-Jen Chung Tzu-Ping Lin Eric Yi-Hsiu Huang Tzu-Hao Huang William J. Huang |
| author_sort | Ping-Hsuan Yu |
| collection | DOAJ |
| description | Abstract Post-prostatectomy continence status, in addition to lower urinary tract symptoms, is a major concern among patients after robotic-assisted radical prostatectomy (RaRP). In this prospective study, we enrolled patients undergoing RaRP to evaluate subjective urinary symptoms and objective urodynamic parameters before and after surgery. Patients were recruited before RaRP surgery between January 2019 and August 2020. One day before surgery, the participants completed three questionnaires and pressure-flow studies, which were repeated approximately 3 months postoperatively. Of the total 135 patients initially enrolled, 85 (63.0%) completed the entire follow-up period. Three months after RaRP, the International Prostate Symptom Score showed significant increases in storage symptoms. Similar trends were observed in the Urinary Distress Inventory Short Form, and Overactive Bladder Symptom Score questionnaires. More than half of the patients regained continence within 2 months, although 9.6% remained incontinent after 1 year. Postoperative urodynamic studies indicated increased bladder hypersensitivity and significantly decreased detrusor pressure at peak flow. Furthermore, the bladder contractility index and bladder outlet obstruction index were reduced postoperatively. Ten patients (11.8%) developed de novo detrusor overactivity. The multivariate analysis identified age and cross-sectional area of the bladder neck as predictors of immediate continence after RaRP. |
| format | Article |
| id | doaj-art-10989945d2b04226a30dad2ce587c25d |
| institution | OA Journals |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-10989945d2b04226a30dad2ce587c25d2025-08-20T02:17:10ZengNature PortfolioScientific Reports2045-23222025-04-011511910.1038/s41598-025-97234-6A prospective study using questionnaires and urodynamic assessments to evaluate bladder function and continence changes after robotic assisted radical prostatectomyPing-Hsuan Yu0Chih-Chieh Lin1Hsiao-Jen Chung2Tzu-Ping Lin3Eric Yi-Hsiu Huang4Tzu-Hao Huang5William J. Huang6Department of Urology, Taipei Veterans General HospitalDepartment of Urology, Taipei Veterans General HospitalDepartment of Urology, Taipei Veterans General HospitalDepartment of Urology, Taipei Veterans General HospitalDepartment of Urology, Taipei Veterans General HospitalDepartment of Urology, Taipei Veterans General HospitalDepartment of Urology, Taipei Veterans General HospitalAbstract Post-prostatectomy continence status, in addition to lower urinary tract symptoms, is a major concern among patients after robotic-assisted radical prostatectomy (RaRP). In this prospective study, we enrolled patients undergoing RaRP to evaluate subjective urinary symptoms and objective urodynamic parameters before and after surgery. Patients were recruited before RaRP surgery between January 2019 and August 2020. One day before surgery, the participants completed three questionnaires and pressure-flow studies, which were repeated approximately 3 months postoperatively. Of the total 135 patients initially enrolled, 85 (63.0%) completed the entire follow-up period. Three months after RaRP, the International Prostate Symptom Score showed significant increases in storage symptoms. Similar trends were observed in the Urinary Distress Inventory Short Form, and Overactive Bladder Symptom Score questionnaires. More than half of the patients regained continence within 2 months, although 9.6% remained incontinent after 1 year. Postoperative urodynamic studies indicated increased bladder hypersensitivity and significantly decreased detrusor pressure at peak flow. Furthermore, the bladder contractility index and bladder outlet obstruction index were reduced postoperatively. Ten patients (11.8%) developed de novo detrusor overactivity. The multivariate analysis identified age and cross-sectional area of the bladder neck as predictors of immediate continence after RaRP.https://doi.org/10.1038/s41598-025-97234-6Robotic-assisted radical prostatectomyUrodynamic studyPost-prostatectomy incontinenceLower urinary tract symptoms |
| spellingShingle | Ping-Hsuan Yu Chih-Chieh Lin Hsiao-Jen Chung Tzu-Ping Lin Eric Yi-Hsiu Huang Tzu-Hao Huang William J. Huang A prospective study using questionnaires and urodynamic assessments to evaluate bladder function and continence changes after robotic assisted radical prostatectomy Scientific Reports Robotic-assisted radical prostatectomy Urodynamic study Post-prostatectomy incontinence Lower urinary tract symptoms |
| title | A prospective study using questionnaires and urodynamic assessments to evaluate bladder function and continence changes after robotic assisted radical prostatectomy |
| title_full | A prospective study using questionnaires and urodynamic assessments to evaluate bladder function and continence changes after robotic assisted radical prostatectomy |
| title_fullStr | A prospective study using questionnaires and urodynamic assessments to evaluate bladder function and continence changes after robotic assisted radical prostatectomy |
| title_full_unstemmed | A prospective study using questionnaires and urodynamic assessments to evaluate bladder function and continence changes after robotic assisted radical prostatectomy |
| title_short | A prospective study using questionnaires and urodynamic assessments to evaluate bladder function and continence changes after robotic assisted radical prostatectomy |
| title_sort | prospective study using questionnaires and urodynamic assessments to evaluate bladder function and continence changes after robotic assisted radical prostatectomy |
| topic | Robotic-assisted radical prostatectomy Urodynamic study Post-prostatectomy incontinence Lower urinary tract symptoms |
| url | https://doi.org/10.1038/s41598-025-97234-6 |
| work_keys_str_mv | AT pinghsuanyu aprospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT chihchiehlin aprospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT hsiaojenchung aprospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT tzupinglin aprospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT ericyihsiuhuang aprospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT tzuhaohuang aprospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT williamjhuang aprospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT pinghsuanyu prospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT chihchiehlin prospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT hsiaojenchung prospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT tzupinglin prospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT ericyihsiuhuang prospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT tzuhaohuang prospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy AT williamjhuang prospectivestudyusingquestionnairesandurodynamicassessmentstoevaluatebladderfunctionandcontinencechangesafterroboticassistedradicalprostatectomy |