The Impact of Three Different Bladder Neck Reconstruction Techniques on Urinary Continence after Laparoscopic Radical Prostatectomy

2020 ◽  
Vol 34 (6) ◽  
pp. 663-670
Author(s):  
Shaobo Zhang ◽  
Chao Liang ◽  
Jian Qian ◽  
Yiyang Liu ◽  
Qiang Lv ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Bladder Neck ◽  
Laparoscopic Radical Prostatectomy ◽  
Urinary Continence ◽  
Neck Reconstruction ◽  
Bladder Neck Reconstruction ◽  
The Impact

scholarly journals The impact of bladder neck sparing on urinary continence during laparoscopic radical prostatectomy; Results from a high volume centre

2017 ◽  
Vol 89 (3) ◽  
pp. 186 ◽  
Author(s):  
Ali Serdar Gozen ◽  
Yigit Akin ◽  
Mutlu Ates ◽  
Marcel Fiedler ◽  
Jens Rassweiler
Keyword(s):  
Radical Prostatectomy ◽  
Bladder Neck ◽  
Multivariate Analyses ◽  
Laparoscopic Radical Prostatectomy ◽  
Urinary Continence ◽  
Neck Reconstruction ◽  
Bladder Neck Reconstruction ◽  
Group 3 ◽  
The Impact

Objective: To evaluate the effects of bladder neck reconstruction techniques on early continence after laparoscopic radical prostatectomy (LRP). Materials and methods: This non-randomized retrospective study analyzed prospectively collected data concerning LRP. In total, 3107 patients underwent LRP between March 1999 and December 2016. Exclusion criteria were preoperative urinary incontinence, previous history of external beam radiotherapy, co-morbities which may affect urinary continence such as diabetes mellitus and/or neurogenic disorders, irregular followup, and follow-up shorter than 24 months. All patients were divided into one of three groups, posterior reconstruction being performed in Group 1 (n = 112), anterior reconstruction in Group 2 (n = 762), and bladder neck sparing (BNS) in Group 3 (n = 987). Demographic and pre-, peri-, and postoperative data were collected. Multivariate analyses were performed to determine factors affecting early continence after LRP. Results: 1861 patients were enrolled in the study. The mean follow-up period was 48.12 ± 29.8 months, and subjects’ mean age was 63.6 ± 6.2 years. There was no significant difference among the groups in terms of demographic or preoperative data. Postoperative data, including oncological outcomes, were similar among the groups. The level of early continence was higher in Group 3 than in the other groups (p < 0.001). Multivariate analyses identified BNS and age as parameters significantly affecting early continence levels after LRP (p < 0.001 and p < 0.001, respectively). Bladder neck reconstruction provided less earlier continence than BNS.

scholarly journals A new technique of bladder neck reconstruction during radical prostatectomy in patients with prostate cancer

2015 ◽  
Vol 41 (3) ◽  
pp. 455-465
Author(s):  
Yuri Tolkach ◽  
Konstantin Godin ◽  
Sergey Petrov ◽  
Sonny Schelin ◽  
Florian Imkamp
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Bladder Neck ◽  
New Technique ◽  
Neck Reconstruction ◽  
Bladder Neck Reconstruction ◽  
A New Technique

The Impact of Lateral Bladder Neck Preservation on Urinary Continence Recovery After Robot-Assisted Radical Prostatectomy

2018 ◽  
Vol 32 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Takeshi Hashimoto ◽  
Kunihiko Yoshioka ◽  
Tatsuo Gondo ◽  
Kazuki Hasama ◽  
Yosuke Hirasawa ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Bladder Neck ◽  
Urinary Continence ◽  
Robot Assisted ◽  
Neck Preservation ◽  
The Impact

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

2021 ◽  
Author(s):  
Zhibin Xu ◽  
MaoMao Guo ◽  
Hao Bian ◽  
Zhenchi Li ◽  
Chen Wang ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Marked Improvement ◽  
Laparoscopic Radical Prostatectomy ◽  
Catheter Removal ◽  
Urinary Continence ◽  
Control Group ◽  
Urethral Pressure ◽  
Continence Rate ◽  
The Impact

Abstract 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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