Effect of bladder neck sparing at robot-assisted laparoscopic prostatectomy on postoperative continence rates and biochemical recurrence

2020 ◽  
Vol 38 (1) ◽  
pp. 1.e11-1.e16
Author(s):  
Felix Preisser ◽  
Luis Busto Martin ◽  
Raisa S. Pompe ◽  
Alexander Heinze ◽  
Alexander Haese ◽  
...  
2016 ◽  
Vol 34 (12) ◽  
pp. 529.e1-529.e7 ◽  
Author(s):  
Hung-Jui Tan ◽  
Siwei Xiong ◽  
Aaron A. Laviana ◽  
Ryan J. Chuang ◽  
Eric Treat ◽  
...  

2013 ◽  
Vol 189 (4S) ◽  
Author(s):  
Nithin Theckumparampil ◽  
Adnan Ali ◽  
Sheela Metgud ◽  
Abhishek Srivastava ◽  
George Ghareeb ◽  
...  

2019 ◽  
Vol 8 (12) ◽  
pp. 2068 ◽  
Author(s):  
Jong Won Kim ◽  
Do Kyung Kim ◽  
Hyun Kyu Ahn ◽  
Hae Do Jung ◽  
Joo Yong Lee ◽  
...  

This study aimed to evaluate the effect of bladder neck preservation (BNP) on long-term urinary continence after robot-assisted laparoscopic prostatectomy (RALP). We systematically searched the PubMed, Embase, and Cochrane Library databases to identify studies that assessed the difference in urinary continence and oncologic outcomes between patients who underwent RALP with BNP and those who underwent RALP without BNP. Four trials (1880 cases with BNP, 727 controls without BNP) were considered suitable for meta-analysis. BNP was associated with significantly better urinary continence outcomes at 3–4 months (odds ratio (OR), 2.88; 95% confidence interval (CI), 1.52–5.48; p = 0.001), 12 months (OR, 2.03; 95% CI, 1.10–3.74; p = 0.02), and 24 months (OR, 3.23; 95% CI, 1.13–9.20; p = 0.03) after RALP. There was no difference in the rate of overall positive surgical margin (PSM) (OR, 1.00; 95% CI, 0.72–1.39; p = 0.99) and that of PSM at the prostate base (OR, 0.49; 95% CI, 0.21–1.13; p = 0.09) between the two groups. The BNP technique during RALP leads to early return of urinary continence and long-term urinary continence without compromising the oncologic outcomes.


2008 ◽  
Vol 102 (7) ◽  
pp. 849-852 ◽  
Author(s):  
Henk G. van der Poel ◽  
Willem de Blok ◽  
Axel Bex ◽  
Willem Meinhardt ◽  
Simon Horenblas

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