{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T21:30:15Z","timestamp":1769635815284,"version":"3.49.0"},"reference-count":13,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2019,8,25]],"date-time":"2019-08-25T00:00:00Z","timestamp":1566691200000},"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>We aimed to investigate whether preoperative MRI findings could predict the bladder neck location on postoperative cystography and recovery of urinary incontinence after robot-assisted laparoscopic radical prostatectomy (RALP). We retrospectively reviewed 270 consecutive patients who had complete preoperative data, including MRI, and underwent postoperative observation for more than three months. Preoperative MRI parameters consisted of the membranous urethral length (MUL) and pubic symphysis-prostate apex length (PAL) on sagittal images. The bladder neck location on a postoperative cystography was defined as the lowest extension of the tapering contrast medium in the bladder, and its relation to the pubic symphysis (above (higher group) and below (lower group) the middle of the pubic symphysis height) was evaluated. Those who required no pad or a safety pad were defined as being continent. PAL was significantly shorter in the higher group than that in the lower group (25.5 vs. 29.1 mm; p &lt; 0.0001). The continent group at three months had a significantly longer MUL and shorter PAL than those in the incontinent group (8.1 vs. 6.7 mm; p &lt; 0.05, and 26.0 vs. 28.1 mm; p &lt; 0.05, respectively). Preoperative MRI parameters could predict the bladder neck location on postoperative cystograms and the recovery of urinary incontinence after RALP.<\/jats:p>","DOI":"10.3390\/diagnostics9030102","type":"journal-article","created":{"date-parts":[[2019,8,26]],"date-time":"2019-08-26T04:38:23Z","timestamp":1566794303000},"page":"102","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Preoperative MRI Parameters Predict Urinary Continence after Robot-Assisted Laparoscopic Prostatectomy in Prostatic Cancer Patients"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1920-6303","authenticated-orcid":false,"given":"Shinji","family":"Fukui","sequence":"first","affiliation":[{"name":"Department of Urology, Nara Prefecture General Medical Center, 897-5, Shichijo-nishi machi 2 chome, Nara 630-8581, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoriaki","family":"Kagebayashi","sequence":"additional","affiliation":[{"name":"Department of Urology, Nara Prefecture General Medical Center, 897-5, Shichijo-nishi machi 2 chome, Nara 630-8581, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Iemura","sequence":"additional","affiliation":[{"name":"Department of Urology, Nara Prefecture General Medical Center, 897-5, Shichijo-nishi machi 2 chome, Nara 630-8581, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiaki","family":"Matsumura","sequence":"additional","affiliation":[{"name":"Department of Urology, Nara Prefecture General Medical Center, 897-5, Shichijo-nishi machi 2 chome, Nara 630-8581, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoji","family":"Samma","sequence":"additional","affiliation":[{"name":"Department of Urology, Nara Prefecture General Medical Center, 897-5, Shichijo-nishi machi 2 chome, Nara 630-8581, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2019,8,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1707","DOI":"10.1016\/S0022-5347(01)65488-0","article-title":"Risk factors for urinary incontinence after radical prostatectomy","volume":"156","author":"Eastham","year":"1996","journal-title":"J. Urol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1159\/000099338","article-title":"Analysis of risk factors for urinary incontinence after radical prostatectomy","volume":"78","author":"Majoros","year":"2007","journal-title":"Urol. Int."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1016\/j.juro.2009.11.011","article-title":"Post-prostatectomy urinary incontinence: A confluence of 3 factors","volume":"183","author":"Loughlin","year":"2010","journal-title":"J. Urol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1111\/luts.12254","article-title":"Postoperative cystogram findings predict recovery of urinary continence after robot-assisted laparoscopic radical prostatectomy","volume":"11","author":"Fukui","year":"2019","journal-title":"Low. Urin. Tract Symptoms."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1016\/S0090-4295(02)02543-8","article-title":"Technique for laparoscopic running urethrovesical anastomosis: The single knot method","volume":"61","author":"Ahlering","year":"2003","journal-title":"Urology."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1016\/j.eururo.2006.10.055","article-title":"Vattikuti Institute prostatectomy: Contemporary technique and analysis of results","volume":"51","author":"Menon","year":"2007","journal-title":"Eur. Urol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1089\/end.2012.0312","article-title":"Predictors of immediate continence following robot-assisted radical prostatectomy","volume":"27","author":"Sammon","year":"2013","journal-title":"J. Endourol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1089\/end.2009.0411","article-title":"Hypothermic robotic radical prostatectomy: Impact on continence","volume":"23","author":"Finley","year":"2009","journal-title":"J. Endourol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1016\/j.juro.2010.04.069","article-title":"Evaluating urinary continence and preoperative predictors of urinary continence after robot assisted laparoscopic radical prostatectomy","volume":"184","author":"Novara","year":"2010","journal-title":"J. Urol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1016\/S0022-5347(05)67294-1","article-title":"Prospective assessment of patient reported urinary continence after radical prostatectomy","volume":"164","author":"Wei","year":"2000","journal-title":"J. Urol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/j.eururo.2008.08.057","article-title":"Recovery of urinary continence after radical prostatectomy: Association with urethral length and urethral fibrosis measured by preoperative and postoperative endorectal magnetic resonance imaging","volume":"55","author":"Paparel","year":"2009","journal-title":"Eur. Urol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1089\/end.2010.0692","article-title":"Preoperative and intraoperative measurements of urethral length as predictors of continence after robot-assisted radical prostatectomy","volume":"25","author":"Hakimi","year":"2011","journal-title":"J. Endourol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1016\/j.eururo.2016.06.023","article-title":"Preoperative membranous urethral length measurement and continence recovery following radical prostatectomy: A systematic review and meta-analysis","volume":"71","author":"Mungovan","year":"2017","journal-title":"Eur. Urol."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/9\/3\/102\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T13:13:48Z","timestamp":1760188428000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/9\/3\/102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,25]]},"references-count":13,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,9]]}},"alternative-id":["diagnostics9030102"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics9030102","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,25]]}}}