"Total reconstruction" of the urethrovesical anastomosis contributes to early urinary continence in laparoscopic radical prostatectomy
Int. braz. j. urol
; 42(2): 215-222, Mar.-Apr. 2016. tab, graf
Article
em En
| LILACS
| ID: lil-782860
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT Purpose:
To demonstrate the effect of total reconstruction technique on postoperative urinary continence after laparoscopic radical prostatectomy (LRP). Material andMethods:
LRP was performed using a standard urethrovesical anastomosis in 79 consecutive patients (Group-A) from June 2011 to October 2012, and a total reconstruction procedure in 82 consecutive patients (Group-B) from June 2012 to June 2013. The primary outcome measurement was urinary continence assessed at 1, 2, 4, 12, 24 and 52 weeks after catheter removal. Other data recorded were patient age, body mass index, International Prostate Symptoms Score, prostate volume, preoperative PSA, Gleason score, neurovascular bundle preservation, operation time, estimated blood loss, complications and pathology results.Results:
In Group-A, the continence rates at 1, 2, 4, 12, 24 and 52 weeks were 7.59%, 20.25%, 37.97%, 58.22%, 81.01% and 89.87% respectively. In Group-B, the continence rates were 13.41%, 32.92%, 65.85%, 81.71%, 90.24% and 95.12% respectively. Group––B had significantly higher continence rates at 4 and 12 weeks after surgery (P<0.001 and P=0.001). There were no significant differences between the groups with respect to patient's age, body mass index, prostate-specific antigen level, prostate volume, IPSS, estimated blood loss, number of nerve-sparing procedures and postoperative complications.Conclusions:
Total reconstruction technique in the procedure of urethrovesical anastomosis during LRP improved early recovery of continence.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
/
2_ODS3
Base de dados:
LILACS
Assunto principal:
Prostatectomia
/
Uretra
/
Bexiga Urinária
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Laparoscopia
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Procedimentos de Cirurgia Plástica
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Int. braz. j. urol
Ano de publicação:
2016
Tipo de documento:
Article