Have urinary function outcomes after radical prostatectomy improved over the past decade?

Robotic technology for use in surgery has advanced considerably in the past 10 years. This has become particularly apparent in urology where robotic-assisted radical prostatectomy using the da VinciTMsurgical system (Intuitive Surgical, CA) has become very popular. The use of robotic assistance for benign urological procedures is less well documented. This article considers the current robotic technology and reviews the situation with regard to robotic surgery for benign urological conditions.

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THE EFFECTS OF URINARY FUNCTION AND ERECTILE FUNCTION ON THE USE OF MECOBALAMIN AFTER NERVE SPARING RADICAL PROSTATECTOMY

The Japanese Journal of Urology ◽

10.5980/jpnjurol.100.7 ◽

2009 ◽

Vol 100 (1) ◽

pp. 7-11

Author(s):

Mabumi Matsushita ◽

Haruo Nakagawa ◽

Shunichi Namiki ◽

Yoshihiro Ikeda ◽

Yasuhiro Kaiho ◽

...

Keyword(s):

Radical Prostatectomy ◽

Erectile Function ◽

Nerve Sparing ◽

Urinary Function

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Anatomic robotic prostatectomy: current best practice

Therapeutic Advances in Urology ◽

10.1177/1756287218813789 ◽

2019 ◽

Vol 11 ◽

pp. 175628721881378 ◽

Cited By ~ 3

Author(s):

Alberto Martini ◽

Ashutosh Kumar Tewari

Keyword(s):

Radical Prostatectomy ◽

Patient Selection ◽

Best Practice ◽

Robotic Prostatectomy ◽

Anatomical Reconstruction ◽

Robot Assisted ◽

Anatomical Studies ◽

Nerve Preservation ◽

The Past ◽

New Evidence

Urologic prostate surgery has changed dramatically over the past decades. Following the introduction of the robot, the surgical approach has been modified and thanks to the magnification allowed by the robot a further level of precision can be achieved. Moreover, advances in the anatomical studies have provided new evidence regarding the periprostatic anatomy. The aim of this review is to describe our approach to robot-assisted radical prostatectomy. Our holistic perspective towards patient selection, pre- and postoperative care is provided. In our center, robot-assisted radical prostatectomy is performed by means of an anterograde approach. A nonbladder-sparing dissection with a graded approach towards nerve preservation is carried out. The procedure is concluded with what we call ‘total anatomical reconstruction’.

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Impact of Sacral Surface Therapeutic Electrical Stimulation on Early Recovery of Urinary Continence after Radical Retropubic Prostatectomy: A Pilot Study

Advances in Urology ◽

10.1155/2010/102751 ◽

2010 ◽

Vol 2010 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Haruo Nakagawa ◽

Yasuhiro Kaiho ◽

Shunichi Namiki ◽

Shigeto Ishidoya ◽

Seiichi Saito ◽

...

Keyword(s):

Electrical Stimulation ◽

Radical Prostatectomy ◽

Pelvic Floor Muscle ◽

Early Postoperative Period ◽

Radical Retropubic Prostatectomy ◽

Urinary Continence ◽

Urinary Function ◽

Early Recovery ◽

Voided Volume ◽

Urine Loss

Objectives. To investigate whether sacral surface therapeutic electrical stimulation (SSTES) initiated during the early postoperative period would be effective towards early recovery of postprostatectomy urinary continence.Methods. A total of 35 consecutive patients who underwent radical prostatectomy by a single surgeon were enrolled in this study. Twenty early patients began pelvic floor muscle exercise (PME). Fifteen subsequent patients received SSTES postoperatively with no instruction for PME provided. Immediate urinary function just after catheter removal was evaluated with frequency-volume chart and 24-hour pad test.Results. There were no differences between the SSTES and PME groups in maximum voided volume capacity (MVV) and urine loss ratio (ULR) on the first day after removal of urethral catheter. However, on day 3 MVV was significantly larger and ULR was also significantly lower in the SSTES group.Conclusions. SSTES treatment is feasible and appears to be effective for early recovery of urinary continence after radical prostatectomy.

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