Urinary Continence and Sexual Function After Robotic Radical Prostatectomy by Sanjay Razdan

Author:Sanjay Razdan
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Posterior reconstruction aims at restoring the anatomical and functional defect through reapproximating the posterior semi-circumference of the rhabdosphincter to the residual cut edge of the Denonvilliers’ fascia. This will allow a firm support to the posterior aspect of the urethral sphincter complex [16–18]. Nguyen et al. investigated the relation between posterior reconstruction and early return of continence after RALP and LRP, 3 days after catheter removal, 34 % of patients who underwent posterior reconstruction were continent, in comparison to patients who underwent standard technique where only 3 % were continent (P = 0.007) [19]. Brien et al. have reported a significant improvement in terms of return of baseline score for urinary bother in posterior reconstruction group in comparison to control group (72 % vs. 53 %; P = 0.0083) [20]. Gondo et al. have reported that posterior reconstruction has better early recovery of urinary continence results after 1 month of catheter removal in univariate analysis [21]. Fecarra et al. have reported 95 % recovery of urinary continence at a mean follow-up of 9 months [22] He also concluded that posterior reconstruction procedure is simple, with minimal increase in operative time, and provides a good support of the urethrovesical anastomosis. On the other hand, Menon et al. have found no significant difference in continence rate with posterior reconstruction compared to control group [23].

Download

Copyright Disclaimer:
This site does not store any files on its server. We only index and link to content provided by other sites. Please contact the content providers to delete copyright contents if any and email us, we'll remove relevant links or contents immediately.