scholarly journals Daily urine loss immediately after urethral catheter removal may be an effective predictor of long‐term urinary incontinence following robot‐assisted laparoscopic radical prostatectomy

2020 ◽  
Author(s):  
Yoshihisa Matsukawa ◽  
Yasushi Yoshino ◽  
Takashi Fujita ◽  
Yasuhito Funahashi ◽  
Tsuyoshi Majima ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Radical Prostatectomy ◽  
Urethral Catheter ◽  
Laparoscopic Radical Prostatectomy ◽  
Catheter Removal ◽  
Robot Assisted ◽  
Daily Urine ◽  
Urine Loss

scholarly journals Detrusorrhaphy during Robot-Assisted Radical Prostatectomy: Early Recovery of Urinary Continence and Surgical Technique

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Tae Young Shin ◽  
Yong Seong Lee
Keyword(s):  
Urinary Incontinence ◽  
Radical Prostatectomy ◽  
Intraoperative Complications ◽  
Risk Groups ◽  
Catheter Removal ◽  
Urinary Continence ◽  
Nerve Sparing ◽  
Robot Assisted ◽  
Early Recovery ◽  
Open Radical Prostatectomy

Robot-assisted radical prostatectomy (RARP) has largely replaced open radical prostatectomy as the standard surgical treatment for prostate cancer. However, postoperative urinary incontinence still persists and has a significant impact on quality of life. We report the superior results of the detrusorrhaphy technique during RARP that helps achieve early continence. Our prospective study involved 95 consecutive patients who underwent RARP between March 2015 and May 2017; fifty patients underwent RARP using the new detrusorrhaphy technique (group 1) and 45 underwent standard RARP (group 2). The postoperative oncological and functional outcomes were compared between the two groups. The postoperative continence was assessed at 0 day, 1 week, 4 weeks, 8–12 weeks, and 6 months after catheter removal. Continence was defined as the use of no pad over a 24 h period. Mean operative time in groups 1 and 2 were 250 and 220 min, respectively. Intraoperative complications were not encountered in any patient. The continence rates after catheter removal in groups 1 and 2 were 68% and 0% at 0 day, 78% and 17.8% at 1 week, 86% and 64.4% at 4 weeks, 92% and 73.3% at 8–12 weeks, and 100% and 91.1% at 6 months, respectively. In the multivariate analysis, the nerve sparing technique, D’Amico risk groups, and prostate volume were involved in the early recovery of urinary continence. The detrusorrhaphy technique is simple, safe, and feasible, which helped achieve earlier continence. It showed significantly better outcomes than those achieved with the standard RARP technique in terms of urinary incontinence. Nevertheless, our findings need to be validated in further studies.

scholarly journals MP16-09 LONG-TERM OUTCOMES OF THE EXTRAPERITONEAL ROBOT-ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY

2018 ◽  
Vol 199 (4S) ◽  
Author(s):  
Dong Hoon Koh ◽  
Won Sik Jang ◽  
Min Seok Kim ◽  
Hyun Kyu Ahn ◽  
Kyung Taek Oh ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Long Term Outcomes ◽  
Robot Assisted

Long-Term Functional and Oncological Outcomes of Patients Undergoing Sural Nerve Interposition Grafting during Robot-Assisted Laparoscopic Radical Prostatectomy

2008 ◽  
Vol 22 (5) ◽  
pp. 1005-1012 ◽  
Author(s):  
Kevin C. Zorn ◽  
Andrew J. Bernstein ◽  
Ofer N. Gofrit ◽  
Sergey A. Shikanov ◽  
Albert A. Mikhail ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Sural Nerve ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted ◽  
Oncological Outcomes
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