scholarly journals Correlation of urinary loss rate after catheter removal and long‐term urinary continence after robot‐assisted laparoscopic radical prostatectomy

2021 ◽  
Author(s):  
Tomoyuki Tatenuma ◽  
Kazuhide Makiyama ◽  
Yusuke Ito ◽  
Kentaro Muraoka ◽  
Hisashi Hasumi ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Loss Rate ◽  
Laparoscopic Radical Prostatectomy ◽  
Catheter Removal ◽  
Urinary Continence ◽  
Robot Assisted

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

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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