2007
DOI: 10.1016/j.eururo.2006.10.014
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Posterior Reconstruction of the Rhabdosphincter Allows a Rapid Recovery of Continence after Transperitoneal Videolaparoscopic Radical Prostatectomy

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Cited by 256 publications
(192 citation statements)
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“…1 Late post-prostatectomy continence rates in expert hands are high (76-92%) 2, 3 ; however, early continence rates are routinely lower and vary widely (32-84%). 2,4 Efforts to improve post-prostatectomy continence include maximizing urethral length, 5 using nerve-sparing techniques, 6 and preserving or recreating urethral support through reconstructive techniques. 2,[7][8][9][10] The use of a sling for suspension of the vesicourethral anastomosis at the time of prostatectomy has shown early promise, but has rarely been studied.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…1 Late post-prostatectomy continence rates in expert hands are high (76-92%) 2, 3 ; however, early continence rates are routinely lower and vary widely (32-84%). 2,4 Efforts to improve post-prostatectomy continence include maximizing urethral length, 5 using nerve-sparing techniques, 6 and preserving or recreating urethral support through reconstructive techniques. 2,[7][8][9][10] The use of a sling for suspension of the vesicourethral anastomosis at the time of prostatectomy has shown early promise, but has rarely been studied.…”
Section: Introductionmentioning
confidence: 99%
“…2,4 Efforts to improve post-prostatectomy continence include maximizing urethral length, 5 using nerve-sparing techniques, 6 and preserving or recreating urethral support through reconstructive techniques. 2,[7][8][9][10] The use of a sling for suspension of the vesicourethral anastomosis at the time of prostatectomy has shown early promise, but has rarely been studied. [11][12][13] Using an absorbable sling material, such as porcine small intestinal submucosa (SIS), could promote early return of continence.…”
Section: Introductionmentioning
confidence: 99%
“…However, as these four procedures did not appear to improve the recovery of urinary continence in LRP, in Feburary, 2010, we initiated the application of a PMPR procedure. Our procedure differs from the original Rocco stitch (8,9) in the aspects described below. Firstly, we used a running suture to connect the Denonvilliers' fascia (DF) with the fibrous tissue underneath the urethra (median fibrous raphe, MFR).…”
Section: Introductionmentioning
confidence: 99%
“…Early multi-institutional studies in Japan found the recovery of urinary function following LRP to be slower compared to that following retropubic radical prostatectomy (RRP) (2,3). The operative procedures used to improve the recovery of urinary continence following radical prostatectomy include preserving the fascia covering the levator ani muscle (4), preserving the bladder neck (4), preserving neurovascular bundles (NVBs) (5), securing a longer functional urethra (6,7), reconstructing the posterior musculofascial plate (PMPR) (8)(9)(10), suspending the vesicourethral anastomosis (11) and performing an anterior reconstruction (12).…”
Section: Introductionmentioning
confidence: 99%
“…The Rocco suture was first described in radical retropubic prostatectomy by Rocco in 2007(Rocco et al, 2007 and has been reported by Tewari et al (2008) for its use in RALP. This is a posterior reconstruction to support the urethral sphincter, and it has been used in combination with the Pagano suture, which adds further reinforcement to the posterior bladder neck.…”
Section: Surgical Modificationsmentioning
confidence: 99%