Document Detail


Anterior and Posterior Reconstruction Technique and its Impact on Early Return of Continence after Robot-Assisted Radical Prostatectomy Operations.
MedLine Citation:
PMID:  22059698     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Introduction and Objectives: Urinary incontinence is a significant cause of morbidity after Robot-Assisted Radical Prostatectomy (RARP). Several techniques have been developed to improve continence rates. In this study, we compared the continence rates of patients who underwent RARP with total reconstruction and without reconstruction. Material and Methods: Between March 2005 and September 2009, 245 patients underwent RARP at our institution. The initial 120 patients (control group) underwent standard RARP without reconstruction and the last 125 patients (reconstruction group) underwent a total reconstruction technique, which included an anterior and posterior reconstruction. Patients were followed for 1, 4, 12, 24, 36, and 52 weeks after the surgery. Continence was defined with strict criteria?no usage of pads and no leakage of urine. Results: In the reconstruction group, the continence rates at, 1,4,12, 24, 36 and 52 weeks postoperatively were 71%, 72%, 80%, 84%, 86%, and 91%, respectively; in the control group, the continence rates were 23%, 49%, 76%, 80%, 85% and 88%, respectively. Conclusion: The overall continence rates were similar in both groups at 52 weeks follow-up. However, patients in the total reconstruction group had higher early continence rates compared to patients in the control group. The total reconstruction procedure is an efficient way to achieve an early return to continence.
Authors:
Fatih Atug; Ali Riza Kural; Ilter Tufek; Sudesh Srivastav; Haluk Akpinar
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-8
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  -     ISSN:  1557-900X     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Istanbul Bilim University School of Medicine, istanbul, Turkey; fatihatug@hotmail.com.
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