453 Posterior reconstruction of the rhabdosphincter improves early recovery of urinary continence after robot-assisted radical prostatectomy

2016 ◽  
Vol 15 (3) ◽  
pp. e453
Author(s):  
D. Pushkar ◽  
A. Govorov ◽  
P. Rasner ◽  
K. Kolontarev ◽  
B. Rocco
Keyword(s):  
Radical Prostatectomy ◽  
Urinary Continence ◽  
Robot Assisted ◽  
Early Recovery ◽  
Posterior Reconstruction

scholarly journals MP80-07 POSTERIOR RECONSTRUCTION OF THE RHABDOSPHINCTER IMPROVES EARLY RECOVERY OF URINARY CONTINENCE AFTER ROBOT-ASSISTED RADICAL PROSTATECTOMY

2016 ◽  
Vol 195 (4S) ◽  
Author(s):  
Dmitry Pushkar ◽  
Alexander Govorov ◽  
Pavel Rasner ◽  
Konstantin Kolontarev ◽  
Bernardo Rocco
Keyword(s):  
Radical Prostatectomy ◽  
Urinary Continence ◽  
Robot Assisted ◽  
Early Recovery ◽  
Posterior Reconstruction

scholarly journals Detrusorrhaphy during Robot-Assisted Radical Prostatectomy: Early Recovery of Urinary Continence and Surgical Technique

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Tae Young Shin ◽  
Yong Seong Lee
Keyword(s):  
Urinary Incontinence ◽  
Radical Prostatectomy ◽  
Intraoperative Complications ◽  
Risk Groups ◽  
Catheter Removal ◽  
Urinary Continence ◽  
Nerve Sparing ◽  
Robot Assisted ◽  
Early Recovery ◽  
Open Radical Prostatectomy

Robot-assisted radical prostatectomy (RARP) has largely replaced open radical prostatectomy as the standard surgical treatment for prostate cancer. However, postoperative urinary incontinence still persists and has a significant impact on quality of life. We report the superior results of the detrusorrhaphy technique during RARP that helps achieve early continence. Our prospective study involved 95 consecutive patients who underwent RARP between March 2015 and May 2017; fifty patients underwent RARP using the new detrusorrhaphy technique (group 1) and 45 underwent standard RARP (group 2). The postoperative oncological and functional outcomes were compared between the two groups. The postoperative continence was assessed at 0 day, 1 week, 4 weeks, 8–12 weeks, and 6 months after catheter removal. Continence was defined as the use of no pad over a 24 h period. Mean operative time in groups 1 and 2 were 250 and 220 min, respectively. Intraoperative complications were not encountered in any patient. The continence rates after catheter removal in groups 1 and 2 were 68% and 0% at 0 day, 78% and 17.8% at 1 week, 86% and 64.4% at 4 weeks, 92% and 73.3% at 8–12 weeks, and 100% and 91.1% at 6 months, respectively. In the multivariate analysis, the nerve sparing technique, D’Amico risk groups, and prostate volume were involved in the early recovery of urinary continence. The detrusorrhaphy technique is simple, safe, and feasible, which helped achieve earlier continence. It showed significantly better outcomes than those achieved with the standard RARP technique in terms of urinary incontinence. Nevertheless, our findings need to be validated in further studies.

V8-07 MODIFIED MILAN SLING TECHNIQUE DURING ROBOT-ASSISTED RADICAL PROSTATECTOMY FOR EARLY RECOVERY OF URINARY CONTINENCE WITHOUT NERVE-SPARING: A PILOT STUDY

2017 ◽  
Vol 197 (4S) ◽  
Author(s):  
Yuji MAEDA ◽  
Toshimitsu MISAKI ◽  
Osamu UEKI ◽  
Tetsuyuki KUROKAWA ◽  
Yukinosuke OSHINOYA ◽  
...  
Keyword(s):  
Pilot Study ◽  
Radical Prostatectomy ◽  
Urinary Continence ◽  
Nerve Sparing ◽  
Robot Assisted ◽  
Early Recovery

Influence of Modified Posterior Reconstruction of the Rhabdosphincter on Early Recovery of Continence and Anastomotic Leakage Rates after Robot-Assisted Radical Prostatectomy

2011 ◽  
Vol 59 (1) ◽  
pp. 72-80 ◽  
Author(s):  
Rafael F. Coelho ◽  
Sanket Chauhan ◽  
Marcelo A. Orvieto ◽  
Ananthakrishnan Sivaraman ◽  
Kenneth J. Palmer ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Anastomotic Leakage ◽  
Robot Assisted ◽  
Early Recovery ◽  
Posterior Reconstruction
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