A Novel Surgical Technique for Preserving the Bladder Neck During Robot-Assisted Laparoscopic Radical Prostatectomy: Preliminary Results

Tunç, Lütfi; Gümüstas, Hüseyin; Akın, Yiğit; Atkin, Sinan; Peker, Tuncay; Erdem, Özlem; Bozkırlı, İbrahim

doi:10.1089/end.2014.0459

Cited by 13 publications

(18 citation statements)

References 26 publications

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“…We described our surgical technique before [6] Valdivieso et al [7] reported their easy applicable RALP technique. However, our surgical technique is a whole, including bladder neck preservation and detailed dissection of the prostate apex [6].…”

Section: Methodsmentioning

confidence: 99%

“…However, our surgical technique is a whole, including bladder neck preservation and detailed dissection of the prostate apex [6]. In this study, we present our surgical technique in terms of relationship between urethra and DVC with the apex of the prostate.…”

Section: Methodsmentioning

confidence: 99%

“…The relationship between prostate and bladder neck was visualized in detail (fig. 1b) [6]. We spared the bladder neck during the dissection of adipose tissue between prostate and bladder (fig.…”

Section: Methodsmentioning

confidence: 99%

“…Recently, some surgical modifications such as preserving the bladder neck during RALP presented and can promise early recovery with early continence rates [6,7]. Additionally, Hakimi et al [8] reported the importance of urethral length for early continence after RALP.…”

Section: Introductionmentioning

confidence: 99%

“…Besides, these may bring to mind a question of whether we know the accurate surgical anatomy of prostate. In the view of all this, we developed our published surgical technique [6]. …”

Section: Introductionmentioning

confidence: 99%

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Detailed Surgical Anatomy of Prostate: Relationship between Urethra and Dorsal Vein Complex with Apex

Tunç¹,

Akın

Gümüstas³

et al. 2016

Urol Int

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Aim: To describe our surgical technique for dissecting the apex of prostate during robotic-assisted laparoscopic radical prostatectomy (RALP) and detailed surgical anatomy of prostate including relationship between urethra and dorsal vein complex with apex. Materials and Methods: In retrospective view of prospective collected data, 73 patients underwent RALP between December 2012 and September 2014. Surgical anatomy of prostate was revealed in all procedures. Quality of life (QoL) scores were assessed before, immediately after catheter removal, and 1 month after surgery. We divided urinary continence into 3 groups, as very early continence; continence at time of urethral catheter removal, early continent; and continence 1 month after surgery. The rest of the patients were accepted as continence. Results: The mean follow-up was 10.2 ± 5.4 months and mean age was 61.5 ± 6.6. Maximum protection of urethra could be provided in all. Mean catheter removal was 8.9 ± 1.7 days, and all patients were continent at the time of catheter removal. QoL scores before RALP could be protected after surgery (p = 0.2). Neither conversion to open/conventional laparoscopic surgery nor complications related with bladder neck were detected. Conclusions: Our surgical technique can be a strong candidate for being a surgical technique for preserving urethra and very early continence could be provided after surgery.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Besides, these may bring to mind a question of whether we know the accurate surgical anatomy of prostate. In the view of all this, we developed our published surgical technique [6]. …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Detailed Surgical Anatomy of Prostate: Relationship between Urethra and Dorsal Vein Complex with Apex

Tunç¹,

Akın

Gümüstas³

et al. 2016

Urol Int

Self Cite

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Anterior Sphincter-sparing Suturing of the Vesicourethral Anastomosis During Robotic-assisted Laparoscopic Radical Prostatectomy

Antonelli

Afferi

Mattei

et al. 2023

European Urology Open Science

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Re: Is It Just Enough to Keep Long Membranous Urethra for Providing Early Continence After Robot-Assisted Laparoscopic Radical Prostatectomy?

Akın

Tunç

2016

Journal of Endourology

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A Novel Surgical Technique for Preserving the Bladder Neck During Robot-Assisted Laparoscopic Radical Prostatectomy: Preliminary Results

Abstract: Our novel technique provided very early continence at the time of catheter removal after RALP within short-term follow-up. This can help early recovery and develop QoL scores after RALP.

Cited by 13 publications

References 26 publications

Detailed Surgical Anatomy of Prostate: Relationship between Urethra and Dorsal Vein Complex with Apex

Detailed Surgical Anatomy of Prostate: Relationship between Urethra and Dorsal Vein Complex with Apex

Anterior Sphincter-sparing Suturing of the Vesicourethral Anastomosis During Robotic-assisted Laparoscopic Radical Prostatectomy

Re: Is It Just Enough to Keep Long Membranous Urethra for Providing Early Continence After Robot-Assisted Laparoscopic Radical Prostatectomy?

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