scholarly journals The Role of Anterior Bladder Flap Neourethra (ABFN) in Early Urinary Continence after Laparoscopic Radical Prostatectomy The Anterior Bladder Flap Neourethra (ABFN) in RP

2021 ◽  
Author(s):  
Zhibin Xu ◽  
MaoMao Guo ◽  
Hao Bian ◽  
Zhenchi Li ◽  
Chen Wang ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Marked Improvement ◽  
Laparoscopic Radical Prostatectomy ◽  
Catheter Removal ◽  
Urinary Continence ◽  
Control Group ◽  
Urethral Pressure ◽  
Continence Rate ◽  
The Impact

Abstract Purpose To evaluate the impact of anterior bladder flap neourethra (ABFN) technique on early urinary continence after laparoscopic radical prostatectomy(RP). Materials and Methods Forty patients who underwent laparoscopic RP January 2019 to January 2021 were prospectively randomized into two groups: the ABFN group (n = 20) and the control group (n = 20). We compared continence rates and ICIQ-SF at 1d, 30 d, 90 d and 180 d after catheter removal. In addition, the urethral pressure of two groups, the length and thickness of neourethra in the ABFN group were measured at one week after catheter removal. Results The ABFN group had marked improvement incontinence rates at 1d, 30d and 90d after catheter removal vs the control group, while had the nearly same continence rate at 180 d. ICIQ-SF scores of the ABFN group were lower than the control group. Maximal urethral pressure (MUP), functional urethral length (FUL) and functional urethral area (UFA) for the ABFN group has significantly improvement than the control group. MRI showed that the neourethral length of the ABFN group was 13.7–16.2 mm, the thickness was 3.6–5.2 mm. Conclusions The ABFN technique markedly improved the early continence rate after laparoscopic RP.

scholarly journals The Impact of Catheter Removal Time on Urinary Continence and Overactive Bladder Symptoms After Robot-Assisted Radical Prostatectomy: A Retrospective Analysis of Consecutive 250 Cases From a Single Institution

2021 ◽  
Author(s):  
Han Hao ◽  
Xu Chen ◽  
Yue Liu ◽  
Longmei Si ◽  
Yuke Chen ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Overactive Bladder ◽  
Catheter Removal ◽  
Urinary Continence ◽  
Removal Time ◽  
Overactive Bladder Symptoms ◽  
Significant Difference ◽  
Bladder Symptoms ◽  
The Impact ◽  
Time Point

Abstract Background After radical prostatectomy, the optimal length of postoperative catheterization time remains to be determined. This study investigates the impact of catheter removal time on urinary continence and overactive bladder symptoms after robot-assisted radical prostatectomy (RARP).Methods Two hundred and fifty consecutive patients underwent RARP by a single surgeon between November 2020 and May 2021. Time to catheter removal was categorized into 7, 10, and ≥ 14 days. Continence was defined as no more than 1 pad used or no more than 20 grams of urine leakage per 24 hours. The patients' continence rates and overactive bladder symptom score (OABSS) were assessed at 48 hours, 1 week, 4 weeks, 12 weeks, and 24 weeks after catheter removal.Results Overall, continence rates were 36% 48 hours after catheter removal, 55.6% 1 week, 74.8% 4 weeks, 98.4% 12 weeks, and 100% 24 weeks after catheter removal. The median time to regain continence was 1 week. After stratification according to catheterization time, no significant difference in continence rates was found between different groups at each time point after catheter removal. Longer catheterization was not an independent predictor of continence recovery (10 days: OR 0.985, 95% CI 0.689-1.409, p = 0.936; ≥14 days: OR 1.194, 95% CI 0.869-1.642, p = 0.274). The presence of diabetes was associated with worse continence outcomes (OR 1.535, 95% CI 1.105-2.132, p = 0.011). The mean OABSS of patients in the continent group were significantly lower than the incontinent group at 48 hours, 1 week, and 4 weeks after catheter removal. No significant difference in OABSS was found between different catheterization time groups at each time point after catheter removal.Conclusions Our results demonstrated that different catheterization time (7 days, 10 days, ≥14 days) is not associated with short-, intermediate-, long-term continence outcomes or overactive bladder symptoms.

Role of Short-Term Antibiotic Therapy at the Moment of Catheter Removal after Laparoscopic Radical Prostatectomy

2010 ◽  
Vol 85 (4) ◽  
pp. 415-420 ◽  
Author(s):  
Rodrigo Pinochet ◽  
Lucas Nogueira ◽  
Angel M. Cronin ◽  
Darren Katz ◽  
Farhang Rabbani ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Antibiotic Therapy ◽  
Laparoscopic Radical Prostatectomy ◽  
Catheter Removal ◽  
Short Term ◽  
The Moment

scholarly journals A meta-analysis of robot assisted laparoscopic radical prostatectomy versus laparoscopic radical prostatectomy

Open Medicine ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 485-490 ◽  
Author(s):  
Tao Wang ◽  
Qunsuo Wang ◽  
Songtao Wang
Keyword(s):  
Prostate Cancer ◽  
Postoperative Complications ◽  
Radical Prostatectomy ◽  
Meta Analysis ◽  
Surgical Margin ◽  
Laparoscopic Radical Prostatectomy ◽  
Localized Prostate Cancer ◽  
Urinary Continence ◽  
Robot Assisted ◽  
Continence Rate

AbstractObjectiveTo evaluate the efficacy and safety of robot-assisted laparoscopic radical prostatectomy (RALP) and laparoscopic radical prostatectomy (LRP) for the treatment of localized prostate cancer.MethodsMeta-analysis was applied using Review Manager V5.3 software and the retrieved clinical trials comparing RALP with LRP for the treatment of localized prostate cancer published from 2000 to 2018 in PubMed, Ovid, ScienceDirect, and EMBASE datasets were analyzed.ResultsThis meta-analysis included 16 articles, totaling 7952 patients, with 5170 RALP patients and 2782 LRP patients. Meta-analysis showed that RALP postoperative complications were fewer (P=0.0007), and the postoperative urinary continence rate was better at 1 year after surgery (P<0.00001). There was no statistical significance between RALP and LRP with regards to the positive incidence of surgical margin (P = 0.18).ConclusionAs an emerging technology, RALP is superior to LRP for localized prostate cancer treatment in terms of postoperative complications, and postoperative urinary continence rate.

The impact of time to catheter removal on short-, intermediate- and long-term urinary continence after radical prostatectomy

2018 ◽  
Vol 36 (8) ◽  
pp. 1247-1253 ◽  
Author(s):  
Derya Tilki ◽  
Felix Preisser ◽  
Pierre Karakiewicz ◽  
Shahrokh F. Shariat ◽  
Markus Graefen ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Catheter Removal ◽  
Urinary Continence ◽  
The Impact

scholarly journals The impact of bladder neck sparing on urinary continence during laparoscopic radical prostatectomy; Results from a high volume centre

2017 ◽  
Vol 89 (3) ◽  
pp. 186 ◽  
Author(s):  
Ali Serdar Gozen ◽  
Yigit Akin ◽  
Mutlu Ates ◽  
Marcel Fiedler ◽  
Jens Rassweiler
Keyword(s):  
Radical Prostatectomy ◽  
Bladder Neck ◽  
Multivariate Analyses ◽  
Laparoscopic Radical Prostatectomy ◽  
Urinary Continence ◽  
Neck Reconstruction ◽  
Bladder Neck Reconstruction ◽  
Group 3 ◽  
The Impact

Objective: To evaluate the effects of bladder neck reconstruction techniques on early continence after laparoscopic radical prostatectomy (LRP). Materials and methods: This non-randomized retrospective study analyzed prospectively collected data concerning LRP. In total, 3107 patients underwent LRP between March 1999 and December 2016. Exclusion criteria were preoperative urinary incontinence, previous history of external beam radiotherapy, co-morbities which may affect urinary continence such as diabetes mellitus and/or neurogenic disorders, irregular followup, and follow-up shorter than 24 months. All patients were divided into one of three groups, posterior reconstruction being performed in Group 1 (n = 112), anterior reconstruction in Group 2 (n = 762), and bladder neck sparing (BNS) in Group 3 (n = 987). Demographic and pre-, peri-, and postoperative data were collected. Multivariate analyses were performed to determine factors affecting early continence after LRP. Results: 1861 patients were enrolled in the study. The mean follow-up period was 48.12 ± 29.8 months, and subjects’ mean age was 63.6 ± 6.2 years. There was no significant difference among the groups in terms of demographic or preoperative data. Postoperative data, including oncological outcomes, were similar among the groups. The level of early continence was higher in Group 3 than in the other groups (p < 0.001). Multivariate analyses identified BNS and age as parameters significantly affecting early continence levels after LRP (p < 0.001 and p < 0.001, respectively). Bladder neck reconstruction provided less earlier continence than BNS.

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