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Despite recent improvements in preoperative imaging quality and surgical techniques, it remains challenging to predict or prevent occurrence of this complication. The aim of this research was to review the current published literature on pre\u2010 and postoperative imaging evaluation of the prostate and pelvic structures, to identify added value in the prediction of post\u2010prostatectomy urinary incontinence. A computerized bibliographic search of the PubMed library was carried out to identify imaging\u2010based articles evaluating the pelvic floor and surrounding structures pre\u2010 and\/or postradical prostatectomy to predict post\u2010prostatectomy urinary incontinence. A total of 32 articles were included. Of these, 29 papers assessed the importance of magnetic resonance imaging evaluation, with a total of 16 parameters evaluated. The most common parameters were intravesical protrusion, the membranous urethral length, prostatic volume and periurethral fibrosis. Preoperative membranous urethral length and its preservation after surgery showed the strongest correlation with urinary incontinence. Three studies evaluated ultrasound, with all carried out postoperatively. This technique benefits from a dynamic evaluation, and the results are promising for proximal urethral hypermobility and the degree of bladder neck funneling on the Valsalva maneuver. Several imaging studies evaluated the predictors of post\u2010prostatectomy urinary incontinence, with preoperative membranous urethral length offering the most promise. However, the current literature is limited by the single\u2010center nature of studies, and the heterogeneity in patient populations and methodologies used.<\/jats:p>","DOI":"10.1111\/iju.14609","type":"journal-article","created":{"date-parts":[[2021,6,9]],"date-time":"2021-06-09T08:23:36Z","timestamp":1623227016000},"page":"890-897","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Evaluation of image\u2010based prognostic parameters of post\u2010prostatectomy urinary incontinence: A literature review"],"prefix":"10.1111","volume":"28","author":[{"given":"Anna","family":"Colarieti","sequence":"first","affiliation":[{"name":"Department of Radiology IRCCS San Raffaele Scientific Institute Milan Italy"},{"name":"Vita\u2010Salute San Raffaele University Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikesh","family":"Thiruchelvam","sequence":"additional","affiliation":[{"name":"Department of Urology Addenbrooke's Hospital University of Cambridge Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tristan","family":"Barrett","sequence":"additional","affiliation":[{"name":"Department of Radiology Addenbrooke's Hospital University of Cambridge Cambridge UK"},{"name":"CamPARI Clinic Addenbrooke's Hospital University of Cambridge Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_7_3_1","unstructured":"2020 N Mottet J Bellmunt E Briers Prostate Cancer Guidelines Panel. 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