Anterior suspension of the dorsal vein complex and fixation of the anterior fibromuscular stroma during laparoscopic prostatectomy for facilitating early continence

Papatsoris, Athanasios; Mandron, E.

doi:10.1111/j.1464-410x.2009.09009.x

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…Thereafter, the anterior urethra was sectioned, and a suture (polyglactin 4/0) was placed in its anterior aspect (entry at the 10 and 1 o’clock positions, and exit at the 11 and 2 o’clock positions, respectively), to plicate the anterior peri-urethral tissues, which are spread and cut during apical dissection. This plication suture reinforces the anterior fibromuscular stroma, to facilitate early postoperative continence [4] . Afterwards, the posterior urethra was sectioned and the vesicourethral anastomosis made using six interrupted sutures.…”

Section: Methodsmentioning

confidence: 98%

“…We used a five-port ELRP according to the technique described previously [4] . In particular, the retroperitoneal space was created with a 0° endoscope.…”

Section: Methodsmentioning

confidence: 99%

“…The dorsal vein complex was ligated with a figure-of-eight suture, which was fixed to the pubic bone with no tension. This anterior suspension of the dorsal vein complex had the objective of improving immediate and long-term postoperative continence [4] . Thereafter, the anterior urethra was sectioned, and a suture (polyglactin 4/0) was placed in its anterior aspect (entry at the 10 and 1 o’clock positions, and exit at the 11 and 2 o’clock positions, respectively), to plicate the anterior peri-urethral tissues, which are spread and cut during apical dissection.…”

Section: Methodsmentioning

confidence: 99%

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Extraperitoneal laparoscopic radical prostatectomy: A prospective 2-year single-surgeon experience with 171 cases

Leitão¹,

Papatsoris²,

Mandron³

2012

Arab Journal of Urology

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ObjectiveTo assess the safety and the oncological and functional efficacy of a prospective series of extraperitoneal laparoscopic radical prostatectomy (ELRP).Patients and methodsThis prospective study included 171 consecutive patients (mean age 62.9 years, SD 6.5) who underwent ELRP by one surgeon between January 2008 and December 2009. The variables analysed were operative duration, blood loss, conversion rate, complications, hospital stay, duration of catheterisation, and the oncological results. We also assessed the rates of continence and erectile function.ResultsThere were no conversions to open surgery. The mean (SD) operative duration was 112.7 (19.4) min, the blood loss was 372.1 (219.1) mL, the hospital stay was 6.8 (2.0) days, and the duration of catheterisation 6.7 (1.5) days. Collectively, 23.4% (40/171) of patients had positive surgical margins. Urinary continence at 1, 3, 6 and 12 months was achieved in 63.3% (95/150), 88.6% (78/88), in 90.3% (121/134) and 92.1% (117/127) of patients, respectively. The respective percentages for physiological erections after nerve-sparing ELRP at the same times were 11.8% (13/110), 11.8% (13/110), 18.2% (20/110) and 25.5% (28/110). The overall potency recovery rates (including patients on pharmacotherapy) were, respectively, 26.4% (29/110), 35.5% (39/110), 52.7% (58/110) and 69.1% (76/110), for the nerve-sparing procedure.ConclusionELRP gave good oncological and functional results, especially in terms of urinary continence.

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Section: Methodsmentioning

confidence: 98%

“…We used a five-port ELRP according to the technique described previously [4] . In particular, the retroperitoneal space was created with a 0° endoscope.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Extraperitoneal laparoscopic radical prostatectomy: A prospective 2-year single-surgeon experience with 171 cases

Leitão¹,

Papatsoris²,

Mandron³

2012

Arab Journal of Urology

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“…При описании хирургической техники у 142 пациентов авторы указали на то, что вкол иглы должен быть осуществлен на 10 ч условного циферблата, а выкол -на 11 ч, следующий вкол иглы -на 1 ч условного циферблата, выкол -на 2 ч, формируя складку передних периуретральных тканей. Таким образом, при медиане периода наблюдения 9,5 (1-20) мес полное удержание мочи зарегистрировано в 81 % случаев [24].…”

Section: Introductionunclassified

The problem of early continence recovery after radical prostatectomy

Качмазов¹,

Кешишев²,

Огнерубова³

et al. 2018

Cancer Urology

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Часто недержание мочи после выполнения радикальной простатэктомии (РПЭ) регистрируют в первые 2-6 мес после оперативного вмешательства. В целях сокращения периода инконтиненции разработаны и усовершенствованы различные хирургические методы, направленные на сохранение и восстановление структур, участвующих в механизме удержания мочи. Цель работы-оценить эффективность применения оригинального метода формирования уретроцистоанастомоза в раннем восстановлении функции удержания мочи.

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Complete Periprostatic Anatomy Preservation During Robot-Assisted Laparoscopic Radical Prostatectomy (RALP): The New Pubovesical Complex-Sparing Technique

Asimakopoulos¹,

Annino²,

D’orazio³

et al. 2010

European Urology

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Anterior suspension of the dorsal vein complex and fixation of the anterior fibromuscular stroma during laparoscopic prostatectomy for facilitating early continence

Cited by 6 publications

References 9 publications

Extraperitoneal laparoscopic radical prostatectomy: A prospective 2-year single-surgeon experience with 171 cases

Extraperitoneal laparoscopic radical prostatectomy: A prospective 2-year single-surgeon experience with 171 cases

The problem of early continence recovery after radical prostatectomy

Complete Periprostatic Anatomy Preservation During Robot-Assisted Laparoscopic Radical Prostatectomy (RALP): The New Pubovesical Complex-Sparing Technique

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