{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T22:31:30Z","timestamp":1789684290289,"version":"4.0.1"},"reference-count":25,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T00:00:00Z","timestamp":1713657600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Introduction: To predict early continence recovery following radical prostatectomy (RP) using baseline demographic and clinical data, as well as dynamic transperineal ultrasound (TPUS) parameters of membranous urethral length (MUL). Patients and Methods: A retrospective CHECK-MUL (check of membranous urethral length) study was conducted. We evaluated 154 patients who underwent RP between August 2018 and April 2023. All patients underwent pre- and postoperative dynamic TPUS to measure MUL. Urinary continence was defined as the use of one safety pad or less 3 months post surgery. The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) was used to assess urinary incontinence (UI). We used logistic regression to assess the association between MUL and early continence recovery. A multivariable logistic regression model was then constructed for the prediction of early continence recovery based on the MUL. Results: The median MUL observed pre- and postoperatively in this study were similar (14.6 mm and 12.9 mm). In the univariable logistic regression analysis, the pre- and postoperative MUL measured by TPUS (odds ratio (OR): 1.12; 95%-CI: 1.02\u20131.79; p = 0.05 and OR: 1.01; 95%-CI: 1.02\u20131.12; p &lt; 0.01) directions were independent predictors of early continence recovery 3 months post surgery. In addition, age (OR: 1.23; 95%-CI: 1.11\u20131.42; p = 0.03), BMI (OR: 1.44; 95%-CI: 1.18\u20132.92; p = 0.05), and bilateral nerve sparing (OR: 1.24; 95%-CI: 1.02\u20131.9; p = 0.05) were independent predictors of urinary continence in univariable logistic regression models. Preoperative MUL &gt;15 mm (95% CI 1.28\u20131.33; p = 0.03) and postoperative MUL &gt;14 mm (95% CI 1.2\u20131.16; p = 0.05) were significantly associated with early continence recovery at 3 months post surgery. Conclusions: The likelihood of continence recovery increases with membranous urethral length and decreases with age, BMI, and lack of nerve sparing. Preoperative MUL &gt;15 mm and postoperative MUL &gt;14 mm were significantly associated with early continence recovery at 3 months post surgery.<\/jats:p>","DOI":"10.3390\/diagnostics14080853","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T12:38:41Z","timestamp":1713789521000},"page":"853","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Predictors of Early Continence Recovery Following Radical Prostatectomy, Including Transperineal Ultrasound to Evaluate the Membranous Urethra Length (CHECK-MUL Study)"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3078-5406","authenticated-orcid":false,"given":"Bara","family":"Barakat","sequence":"first","affiliation":[{"name":"Urology Centre, Albertusstra\u00dfe 17, 41061 M\u00f6chengladbach, Germany"},{"name":"Department of Urology and Pediatric Urology, Hospital Viersen, 41747 Viersen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustapha","family":"Addali","sequence":"additional","affiliation":[{"name":"Department of Urology, Hospital Siegen, 57076 Siegen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Hadaschik","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Essen, 45147 Essen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Rehme","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital Essen, 45147 Essen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameh","family":"Hijazi","sequence":"additional","affiliation":[{"name":"Department of Urology, Hospital Ibbenb\u00fcren, 49477 Ibbenb\u00fcren, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samy","family":"Zaqout","sequence":"additional","affiliation":[{"name":"Urology Centre, Albertusstra\u00dfe 17, 41061 M\u00f6chengladbach, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1056\/NEJMoa074311","article-title":"Quality of life and satisfaction with outcome among prostate cancer survivors","volume":"358","author":"Sanda","year":"2008","journal-title":"N. 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