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Predictors of short and long term urinary incontinence after radical prostatectomy in prostate MRI: Significance and reliability of standardized measurements

European Journal of Radiology Sep 20, 2019

Sauer M, Tennstedt P, Berliner C, et al. - A total of 316 patients underwent MRI at 3 T former to prostatectomy in order to assess standardized measurements of the membranous urethra length (MUL), the membranous urethra angle (MUA) and the prostate’s apex type (AT) among further clinical parameters as potential preoperative risk factors of urinary incontinence (UI) following radical prostatectomy (RP). A notable influence of the MUL on postoperative UI was noted. No important influence was illustrated relative to the MUA and AT. Of all clinical parameters, there was a meaningful impression of the patients’ age and the degree of nerve-sparing surgery. Inter-rater agreement with regards to the MUL was great. Thus, following RP, a shorter MUL in mpMRI should be considered as a risk factor of UI. Moreover, standardized measurements facilitating good inter-rater agreement should be granted for routine evaluations to aid prospective classifications.
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