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Establishment of nerve sparing procedure to improve functional outcome of radical prostatectomy

Research Project

Project/Area Number 26293348
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypePartial Multi-year Fund
Section一般
Research Field Urology
Research InstitutionTohoku University

Principal Investigator

Arai Yoichi  東北大学, 医学系研究科, 教授 (50193058)

Co-Investigator(Kenkyū-buntansha) 川守田 直樹  東北大学, 大学病院, 助教 (00617524)
山下 慎一  東北大学, 大学病院, 講師 (10622425)
海法 康裕  東北大学, 医学系研究科, 非常勤講師 (30447130)
三塚 浩二  東北大学, 大学病院, 講師 (80568171)
泉 秀明  東北大学, 医学系研究科, 助教 (80722545)
佐藤 琢磨  東北大学, 大学病院, 助教 (80804856)
斎藤 英郎  東北大学, 医学(系)研究科(研究院), 非常勤講師 (00466559)
並木 俊一  東北大学, 医学(系)研究科(研究院), 非常勤講師 (40400353)
中川 晴夫  東北大学, 医学(系)研究科(研究院), 非常勤講師 (80333574)
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥15,990,000 (Direct Cost: ¥12,300,000、Indirect Cost: ¥3,690,000)
Fiscal Year 2017: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Fiscal Year 2016: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Fiscal Year 2015: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Fiscal Year 2014: ¥6,630,000 (Direct Cost: ¥5,100,000、Indirect Cost: ¥1,530,000)
Keywords前立腺癌 / 前立腺全摘術 / 尿失禁 / ED / QOL / 再生医学 / 機能温存
Outline of Final Research Achievements

Prospective study demonstrated that minimal residual urethral length (mRUL) on preoperative MRI is associated with preoperative urinary function and predicts postoperative urinary continence recovery (Satake Y, Urology, 2018). Using nerve-sparing rat model we originally developed, we revealed that use of tissue sealing sheet attenuated postoperative inflammatory changes and oxidative stress and improved erectile function after cavernous nerve injury in rats(Yamashita S , J Sex Med. 2016;). Based on the findings, randomized clinical controlled study on the efficacy of tissue sealing sheet in robot-assisted radical prostatectomy is ongoing. The interim analyses will be reported in 2018 Annual Meeting of American Urological Association. Using rat model, it was demonstrated that sacral surface therapeutic electrical stimulation increases blood flow of penis and bladder, suggesting the possible role of improving functional outcome after radical prostatectomy.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • 2014 Annual Research Report
  • Research Products

    (48 results)

All 2018 2017 2016 2015 2014 Other

All Journal Article (11 results) (of which Int'l Joint Research: 5 results,  Peer Reviewed: 11 results,  Acknowledgement Compliant: 4 results,  Open Access: 5 results) Presentation (30 results) (of which Int'l Joint Research: 4 results,  Invited: 19 results) Book (4 results) Remarks (3 results)

  • [Journal Article] Estimated Minimal Residual Membranous Urethral Length on Preoperative Magnetic Resonance Imaging Can Be a New Predictor for Continence After Radical Prostatectomy2018

    • Author(s)
      Satake Y, Kaiho Y, Saito H, Yamada T, Kawamorita N, Yamashita S, Mitsuzuka K, Yamada S, Ito A, Arai Y
    • Journal Title

      UROLOGY

      Volume: 112 Pages: 138-144

    • DOI

      10.1016/j.urology.2017.11.008

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] High luteinizing hormone weakens urinary continence mechanisms in association with prostaglandin E2 elevation in a postmenopausal rat model2018

    • Author(s)
      Eriguchi T, Kawamorita N, Hayashi N, Satake Y, Izumi H, Kaiho Y, Arai Y.
    • Journal Title

      Neurourol Urodyn

      Volume: - Issue: 4 Pages: 1294-1301

    • DOI

      10.1002/nau.23470

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Surgical and Patient Reported Outcomes of Artificial Urinary Sphincter Implantation: A Multicenter, Prospective, Observational Study2018

    • Author(s)
      Kaiho Y, Masuda H, Takei M, Hirayama T, Mitsui T, Yokoyama M, Kitta T, Kawamorita N, Nakagawa H, Iwamura M, Arai Y
    • Journal Title

      J Urol

      Volume: 199 Issue: 1 Pages: 245

    • DOI

      10.1016/j.juro.2017.08.077

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Impact of Tissue Sealing Sheet on Erectile Dysfunction in a Rat Model of Nerve-Sparing Radical Prostatectomy.2016

    • Author(s)
      Yamashita S, Fujii S, Kamiyama Y, Kawasaki Y, Izumi H, Kawamorita N, Mitsuzuka K, Adachi H, Kaiho Y, Ito A, Arai Y.
    • Journal Title

      J Sex Med

      Volume: 13 Issue: 10 Pages: 1448-1454

    • DOI

      10.1016/j.jsxm.2016.07.015

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Phosphodiesterase type 5 inhibitor administered immediately after radical prostatectomy temporarily increases the need for incontinence pads, but improves final continence status.2016

    • Author(s)
      Kaiho Y, Yamashita S, Ito A, Kawasaki Y, Izumi H, Kawamorita N, Adachi H, Mitsuzuka K, Arai Y.
    • Journal Title

      Investig Clin Urol

      Volume: 57 Pages: 357-363

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Urinary straining contributes to inguinal hernia after radical retropubic prostatectomy.2016

    • Author(s)
      Kaiho Y, Mitsuzuka K, Yamada S, Saito H, Adachi H, Yamashita S, Izumi H, Ito A, Arai Y.
    • Journal Title

      Int J Urol

      Volume: 23 Issue: 6 Pages: 478-483

    • DOI

      10.1111/iju.13078

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Serum luteinizing hormone concentration is significantly associated with recovery of urinary function after radical prostatectomy.2016

    • Author(s)
      Namiki S, Mitsuzuka K, Kaiho Y, Yamada S, Adachi H, Yamashita S, Saito H, Ito A, Nakagawa H, Takegami M, Arai Y.
    • Journal Title

      BJU Int

      Volume: 117 Issue: 3 Pages: 450-455

    • DOI

      10.1111/bju.13083

    • Related Report
      2016 Annual Research Report 2015 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Current use of active surveillance for localized prostate cancer: A nationwide survey in Japan.2015

    • Author(s)
      Mitsuzuka K, Koga H, Sugimoto M, Arai Y, Ohyama C, Kakehi Y, Naito S.
    • Journal Title

      Int J Urol.

      Volume: 22 Issue: 8 Pages: 754-759

    • DOI

      10.1111/iju.12813

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Precise Preoperative Localization of Prostate Cancer Employing 12-Core Needle Biopsy with a Tissue-Marking Method for Effective Surgical Strategy2015

    • Author(s)
      Sato S, Watanabe M, Taniuchi S, Kasajima A, Mitsuzuka K, Nakamura Y, Fujishima F, Arai Y, Sasano H.
    • Journal Title

      The Tohoku Journal of Experimental Medicine

      Volume: 236 Issue: 1 Pages: 55-61

    • DOI

      10.1620/tjem.236.55

    • NAID

      130005069563

    • ISSN
      0040-8727, 1349-3329
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Long-term quality of life after radical prostatectomy: 8-year longitudinal study in Japan.2014

    • Author(s)
      Namiki S, Kaiho Y, Mitsuzuka K, Saito H, Yamada S, Nakagawa H, Ito A, Arai Y.
    • Journal Title

      Int J Urol

      Volume: 21 Issue: 5 Pages: 793-9

    • DOI

      10.1007/s10147-014-0738-7

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Effects of phosphodiesterase type 5 inhibitor, tadalafil, on continence reflex in rats.2014

    • Author(s)
      Izumi H, Kaiho Y, Miyazato M, Kawamorita N, Nakagawa H, Arai Y.
    • Journal Title

      Int Urogynecol J

      Volume: 25 Issue: 1 Pages: 70-3

    • DOI

      10.1111/iju.12597

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] 前立腺がんの治療と観察ポイント2018

    • Author(s)
      荒井陽一
    • Organizer
      第42回泌尿器科看護セミナー
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] ロボット支援腹腔鏡下前立腺全摘術後の勃起障害に対する組織接着用シートの有効性に関する無作為化比較対照試験:中間解析報告2018

    • Author(s)
      山下慎一、三塚浩二、伊藤明宏、安達尚宣、 海法康裕、川守田直樹、齋藤英郎、中川晴夫、泉秀明、川崎芳英、 藤井紳司、荒井陽一
    • Organizer
      第15回泌尿器科再建再生研究会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Effect of tissue sealing sheets on erectile function following robotic-assisted laparoscopic prostatectomy: Interim results of a randomized controlled trial2018

    • Author(s)
      Shinichi Yamashita, Koji Mitsuzuka, Akihiro Ito, Hisanobu Adachi, Yasuhiro Kaiho, Naoki Kawamorita, Hideo Saito, Haruo Nakagawa, Hideaki Izumi, Yoshihide Kawasaki, Takuro Goto, Shinji Fujii, Yoichi Arai
    • Organizer
      2018 American Urological Association
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 前立腺癌の治療と観察ポイント2017

    • Author(s)
      荒井陽一
    • Organizer
      第41回看護セミナー
    • Place of Presentation
      大阪市(大阪私学会館)
    • Year and Date
      2017-02-11
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 前立腺癌の治療と観察ポイント2017

    • Author(s)
      荒井陽一
    • Organizer
      第41回看護セミナー
    • Place of Presentation
      東京(KDDI大手町ビル)
    • Year and Date
      2017-02-04
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 前立腺 失ってわかる男のLUTS -前立腺全摘術の病態から読み解く-2017

    • Author(s)
      荒井陽一
    • Organizer
      茨城排尿障害セミナー
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 増加する前立腺がんと治療の現状2017

    • Author(s)
      三塚浩二
    • Organizer
      市民公開講座「前立腺癌 QOL向上のために知っておきたいこと」(仙台市)
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 『前立腺全摘除術に対する内視鏡下手術』特別発言:前立腺全摘術のアウトカム検証2016

    • Author(s)
      荒井陽一
    • Organizer
      第29回日本内視鏡外科学会総会
    • Place of Presentation
      横浜市(パシフィコ横浜 会議センター)
    • Year and Date
      2016-12-08
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] Treatment guideline in Japan:prostate cancer2016

    • Author(s)
      Yoichi Arai
    • Organizer
      第54回日本癌治療学会
    • Place of Presentation
      横浜市(パシフィコ横浜)
    • Year and Date
      2016-10-20
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] 前立腺全摘術のアウトカム検証:みちのくからのメッセージ2016

    • Author(s)
      荒井陽一
    • Organizer
      第99回日本泌尿器科学会四国地方会
    • Place of Presentation
      高松市(かがわ国際会議場)
    • Year and Date
      2016-08-06
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] Impact of tissue sealing sheet on erectile dysfunction in a rat model of nerve-sparing radical prostatectomy.2016

    • Author(s)
      Yamashita S, Kamiyama Y, Fujii S, Endo E, Kawasaki Y, Izumi H, Kawamorita N, Mitsuzuka K, Adachi H, Kaiho Y, Ito A, Arai Y
    • Organizer
      2016 Annual Meeting of American Urological Association
    • Place of Presentation
      San Diego, USA.
    • Year and Date
      2016-05-06
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Who benefits from robot-assisted radical prostatectomy in terms of functional outcome?2016

    • Author(s)
      Takahashi M, Mitsuzuka K, Kaiho Y, Ito A, Arai Y
    • Organizer
      2016 Annual Meeting of American Urological Association
    • Place of Presentation
      San Diego, USA.
    • Year and Date
      2016-05-06
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 前立腺全摘術後の性機能アウトカム:次に何が必要か?」 術後勃起障害のメカニズムとその克服法を探る2016

    • Author(s)
      山下慎一、海法康裕、荒井陽一
    • Organizer
      第104日本泌尿器科学会総会
    • Place of Presentation
      仙台市(仙台国際センター)
    • Year and Date
      2016-04-23
    • Related Report
      2016 Annual Research Report
  • [Presentation] ロボット支援前立腺全摘除術と恥骨後式根治的前立腺全摘術の術後QOLの比較2016

    • Author(s)
      高橋正博、三塚 浩二、海法 康裕、伊藤 明宏、荒井 陽一
    • Organizer
      第104日本泌尿器科学会総会
    • Place of Presentation
      仙台市(仙台国際センター)
    • Year and Date
      2016-04-23
    • Related Report
      2016 Annual Research Report
  • [Presentation] 男性の一番多いがんは前立腺がんです2016

    • Author(s)
      荒井陽一
    • Organizer
      第8回元気!健康!フェアinとうほく
    • Place of Presentation
      仙台市(仙台国際センター)
    • Year and Date
      2016-04-02
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] Tissue sealing sheet attenuates erectile dysfunction after nerve-sparing surgery in a rat model2016

    • Author(s)
      Shinichi Yamashita, Yoshihiro Kamiyama, Shinji Fujii, Emi Endo, Yoshihide Kawasaki, Hideaki Izumi, Naoki Kawamorita, Koji Mitsuzuka, Hisanobu Adachi, Yasuhiro Kaiho, Akihiro Ito, Yoichi Arai
    • Organizer
      Annual EAU Congress 16
    • Place of Presentation
      ミュンヘン
    • Year and Date
      2016-03-11
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 前立腺全摘術のアウトカム検証:みちのくからのメッセージ2015

    • Author(s)
      荒井陽一
    • Organizer
      第619回日本泌尿器科学会東京地方会
    • Place of Presentation
      東京都 御茶ノ水ソラシティカンファレンスセンター
    • Year and Date
      2015-12-03
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 前立腺全摘術のアウトカム検証:みちのくからのメッセージ2015

    • Author(s)
      荒井陽一
    • Organizer
      第27回奈良県医師会泌尿器科部会学術講演会
    • Place of Presentation
      奈良市 ホテル日航奈良
    • Year and Date
      2015-11-14
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 前立腺癌の診療最前線2015

    • Author(s)
      荒井陽一
    • Organizer
      東北薬科大学講演会(地域医療研修会)
    • Place of Presentation
      仙台市 ホテルメトロポリタン仙台
    • Year and Date
      2015-10-07
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 泌尿器科医から画像に期待するもの2015

    • Author(s)
      荒井陽一
    • Organizer
      第3回(泌尿器画像診断・治療技術研究会
    • Place of Presentation
      京都市 ウェスティン都ホテル京都
    • Year and Date
      2015-09-25
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] 骨盤外科医が知っておくべき排尿機能と性機能評価法2015

    • Author(s)
      荒井陽一
    • Organizer
      第25骨盤外科機能研究会学術講演会
    • Place of Presentation
      米子市 米子全日空ホテル
    • Year and Date
      2015-06-26
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Estimated minimal residual urethral length on preoperative MRI can be an independent predictor for continence after radical prostatectomy.2015

    • Author(s)
      Satake Y, Saito H, Kaiho Y, Nakagawa H, Arai Y
    • Organizer
      30th Anniversary Congress of European Urological Association
    • Place of Presentation
      Madrid, Spain
    • Year and Date
      2015-03-20 – 2015-03-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] How do you manage the incontinence after radical prostatectomy2014

    • Author(s)
      Kaiho Y, Izumi H, Satake Y, Kamiyama Y, Kawamorita N, Arai Y
    • Organizer
      The 31th Japan-Korea Urological Congress
    • Place of Presentation
      Tokyo Roppongi Academy Hills 49
    • Year and Date
      2014-09-27 – 2014-09-28
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Pelvic floor measurement on preoperative MRI as a predictor of urinary continence after radical prostatectomy2014

    • Author(s)
      Satake Y, Saito H, Kaiho Y, Arai Y
    • Organizer
      The 31th Japan-Korea Urological Congress
    • Place of Presentation
      Tokyo Roppongi Academy Hills 49
    • Year and Date
      2014-09-27 – 2014-09-28
    • Related Report
      2014 Annual Research Report
  • [Presentation] 術前MRIにおける骨盤底所見は、 前立腺全摘出術後尿禁制の予測因子となる2014

    • Author(s)
      佐竹洋平、齋藤英郎、海法康裕、中川晴夫、荒井陽一
    • Organizer
      第21回日本排尿機能学会
    • Place of Presentation
      岡山市 岡山コンベンションセンター
    • Year and Date
      2014-09-18 – 2014-09-20
    • Related Report
      2014 Annual Research Report
  • [Presentation] 性機能アウトカムの更なる改善のために:組織接着シートを用いたアウトカム改善の試み2014

    • Author(s)
      海法康裕、山下慎一、三塚浩二、安達尚宣、山田成幸、齋藤英郎、伊藤明宏、中川晴夫、荒井陽一
    • Organizer
      第25回日本性機能学会総会
    • Place of Presentation
      仙台市 AER仙台市情報・産業プラザ
    • Year and Date
      2014-09-04 – 2014-09-06
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 勃起障害動物モデルの作成方法とコツ:海綿体神経温存モデル2014

    • Author(s)
      山下慎一、海法康裕、神山佳展、中川晴夫、荒井陽一
    • Organizer
      第25回日本性機能学会総会
    • Place of Presentation
      仙台市 AER仙台市情報・産業プラザ
    • Year and Date
      2014-09-04 – 2014-09-06
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 前立腺全摘術長期生存患者の性機能2014

    • Author(s)
      並木俊一、海法康裕、中川晴夫、伊藤明宏、荒井陽一
    • Organizer
      第25回日本性機能学会総会
    • Place of Presentation
      仙台市 AER仙台市情報・産業プラザ
    • Year and Date
      2014-09-04 – 2014-09-06
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] 前立腺全摘術後尿禁制の回復には、術前MRIにおける骨盤底所見が影響する2014

    • Author(s)
      佐竹洋平、齋藤英郎、荒井陽一
    • Organizer
      第102回日本泌尿器科学会総会
    • Place of Presentation
      神戸市 神戸国際会議場
    • Year and Date
      2014-04-24 – 2014-04-27
    • Related Report
      2014 Annual Research Report
  • [Presentation] がんサバイバーシップとSexuality:術後QOL質問票調査の意義2014

    • Author(s)
      並木俊一、荒井陽一
    • Organizer
      術後QOL質問票調査の意義
    • Place of Presentation
      神戸市 神戸国際会議場
    • Year and Date
      2014-04-24 – 2014-04-27
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Book] Urologic Surgery Next ロボット支援手術2018

    • Author(s)
      荒井陽一、高橋 悟、山本新吾、土谷順彦(編)
    • Total Pages
      183
    • Publisher
      メデイカルビュー社
    • ISBN
      9784758313315
    • Related Report
      2017 Annual Research Report
  • [Book] 前立腺癌診療ガイドライン2016年版(日本泌尿器科学会編)2016

    • Author(s)
      荒井陽一、海法康裕、白木良一、川島清隆、雑賀隆史、三木健太
    • Total Pages
      270
    • Publisher
      金原出版
    • Related Report
      2016 Annual Research Report
  • [Book] 元気!健康フェア 宮城の医療と健康2016

    • Author(s)
      荒井陽一
    • Publisher
      胱のトラブルへの対処法「男性の一番多いがんは前立腺がんです」
    • Related Report
      2016 Annual Research Report
  • [Book] きょうの健康 前立腺がん2014

    • Author(s)
      荒井陽一、穎川晋、萬篤憲、伊藤一人、岩村正嗣、中島耕一
    • Total Pages
      95
    • Publisher
      NHK出版
    • Related Report
      2014 Annual Research Report
  • [Remarks] 東北大学大学院医学系研究科 外科病態学講座泌尿器科学分野

    • URL

      http://www.uro.med.tohoku.ac.jp/index.html

    • Related Report
      2017 Annual Research Report
  • [Remarks] 東北大学病院 泌尿器科

    • URL

      http://www.uro.med.tohoku.ac.jp/index.html

    • Related Report
      2015 Annual Research Report
  • [Remarks] 東北大学大学院医学系研究科外科病態学講座泌尿器科学分野

    • URL

      http://www.uro.med.tohoku.ac.jp/index.html

    • Related Report
      2014 Annual Research Report

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Published: 2014-04-04   Modified: 2019-03-29  

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