Role of sparing of puboprostatic ligaments on continence recovery after radical prostatectomy: a randomized controlled trial

Assem, Akram; Youssif, Tamer Abou; Hamdy, Seif M.; Beltagy, Ahmad; Gözen, Ali Serdar

doi:10.1080/21681805.2020.1849389

Cited by 4 publications

(1 citation statement)

References 17 publications

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“…Early incontinence rates are as high as 26-93% in the rst Mon and 19-85% in the third Mon after the standard radical prostatectomy (RP), dramatically impacting the patient's quality of life [1][2][3][4] . Multiple surgical techniques aimed to improve post-RP early continence rate, for instance, methods with preservation of membranous urethra 5,6 , bladder neck 7 , Retzius space 8 , puboprostatic ligaments 9 , endopelvic fascia 10 , apical complex and lateral prostatic fascia 11 , and also techniques with the reconstruction of posterior reconstruction of rhabdomyosphincter 12 , periurethral suspension stitch 13 , anterior reconstruction 14 , anterior suspension and posterior reconstruction 2 , total anatomical reconstruction 15 . Although many patients had bene ted from the above techniques, the effect is still uncertain and unreproducible 16 .…”

Section: Introductionmentioning

confidence: 99%

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

Xu¹,

Guo²,

Bian³

et al. 2021

Preprint

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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.

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