Urethral‐fixation technique improves early urinary continence recovery in patients who undergo retropubic radical prostatectomy

Ficarra, Vincenzo; Crestani, Alessandro; Rossanese, Marta; Palumbo, Vito; Calandriello, M; Novara, Giacomo; Praturlon, S.; Giannarini, Gianluca

doi:10.1111/bju.13514

Cited by 9 publications

(3 citation statements)

References 25 publications

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“…RRP was performed using the urethral fixation technique. 8 RARP was performed according to the transperitoneal anterior technique described by Mottrie et al 9 or with a Retzius-sparing approach. 10 All the robotic procedures were performed using a 4-arm Xi Da Vinci system.…”

Section: Surgical Procedures and Perioperative Managementmentioning

confidence: 99%

Relative position of bladder neck to pubic symphysis on cystogram is a strong and reproducible predictor of early urinary continence recovery following radical prostatectomy

et al. 2020

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Objectives: To assess whether bladder neck angle and position on cystogram predict early urinary continence in patients scheduled for early catheter removal after radical prostatectomy (RP). Methods: A total of 103 patients undergoing open or robot-assisted RP by one expert surgeon between January and December 2019 were retrospectively analyzed. A cystogram was performed on postoperative day 3 or 4 to evaluate anastomotic leakage, and, if none or minimal, the catheter was removed. Urinary continence was evaluated with a validated questionnaire at 1 week, 1 month, and 3 months after RP. Four investigators of different experience assigned bladder neck angle and relative position of bladder neck to pubic symphysis on archived cystogram images. Association between these two parameters and urinary continence rates at different follow-up times was assessed with logistic regression analysis adjusting for patient and tumor characteristics, and surgical technique. Interobserver agreement in assigning the two parameters was measured with k statistic. Results: Catheter was removed immediately after cystogram in 101 (98%) patients. On multivariable analysis, only relative position of bladder neck to pubic symphysis was an independent predictor of 1-week (odds ratio [OR] 30. 95% confidence intervals [CIs] 6-138, p < 0.001), 1-month (OR 11. 95%CIs 3.8-32, p < 0.001), and 3-month (OR 19. 95%CIs 3.6-98, p < 0.001) urinary continence. Interobserver agreement for bladder neck and relative position of bladder neck to pubic symphysis was fair to moderate, and substantial to almost perfect, respectively. Conclusions: Relative position of bladder neck to pubic symphysis on cystogram is a strong and reproducible predictor of early urinary continence after RP.

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Section: Surgical Procedures and Perioperative Managementmentioning

confidence: 99%

Relative position of bladder neck to pubic symphysis on cystogram is a strong and reproducible predictor of early urinary continence recovery following radical prostatectomy

et al. 2020

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“…Indeed, studies evaluating surgical techniques and outcomes after RARP have been more appealing to editors and scientific committees in comparison with those on RRP. After an initial stage in which open surgeons were pushed by robotic ones to improve their technique, in recent years very few data have come from open surgery [4,5]. Regardless of the results of the Australian RCT, robotic technology has become an essential component in the armamentarium of modern urologists.…”

Section: Implications For Urologistsmentioning

confidence: 99%

Robot‐assisted vs open radical prostatectomy: the day after

Ficarra

Novara

2017

BJU International

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“…Показатели континенции в контрольной группе за указанные периоды составили 19,6; 31,4; 41,2 и 62,7 %. Разница между группами была статистически достоверной (p = 0,001) [32].…”

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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Urethral‐fixation technique improves early urinary continence recovery in patients who undergo retropubic radical prostatectomy

Cited by 9 publications

References 25 publications

Relative position of bladder neck to pubic symphysis on cystogram is a strong and reproducible predictor of early urinary continence recovery following radical prostatectomy

Relative position of bladder neck to pubic symphysis on cystogram is a strong and reproducible predictor of early urinary continence recovery following radical prostatectomy

Robot‐assisted vs open radical prostatectomy: the day after

The problem of early continence recovery after radical prostatectomy

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