2018 Volume 31 Issue 2 Pages 271-276
We assessed the effect of nerve sparing (NS) procedure on patients-reported urinary outcomes after RALP using by the International Consultation on Incontinence on Incontinence Questionnaire Short Form (ICIQ-SF), IPSS and OABSS before and 1, 3, and 6 month after surgery. 325 patients were divided into groups with non-NS (NNS), unilateral NS (UNS) and bilateral NS (BNS). Patients who had any NS surgery (ie, UNS or BNS) had significantly lower ICIQ-SF compared with those who had NNS surgery up to 3 month after surgery. No significant difference was seen at 6 mo.
Almost the same results were shown in studies in both IPSS and OABSS. Multivariate analysis indicated that any NS surgery and lower scores in both IPSS and OABSS before surgery were significant predictors of lower ICIQ-SF up to 3 month. We found that any NS surgery improves urinary outcomes in the first 3 month after surgery.
