2019
DOI: 10.1016/j.eururo.2018.11.035
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Posterior, Anterior, and Periurethral Surgical Reconstruction of Urinary Continence Mechanisms in Robot-assisted Radical Prostatectomy: A Description and Video Compilation of Commonly Performed Surgical Techniques

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Cited by 46 publications
(42 citation statements)
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“…If adequate prediction of PPI is possible, it may be a helpful tool in the counseling of patients in their choice of treatment after a diagnosis of prostate cancer. Also, patients at high risk for PPI could be withheld surgery, or if surgery remains mandatory, specific surgical techniques could be used to maximize functional outcomes [9]. This is one of the few studies that is aimed to develop an online prediction model for PPI after RARP that may be used by both clinicians and patients before treatment.…”
Section: Discussionmentioning
confidence: 99%
“…If adequate prediction of PPI is possible, it may be a helpful tool in the counseling of patients in their choice of treatment after a diagnosis of prostate cancer. Also, patients at high risk for PPI could be withheld surgery, or if surgery remains mandatory, specific surgical techniques could be used to maximize functional outcomes [9]. This is one of the few studies that is aimed to develop an online prediction model for PPI after RARP that may be used by both clinicians and patients before treatment.…”
Section: Discussionmentioning
confidence: 99%
“…We added the periurethral suspension stitch to our standard RARP technique with the initial purpose of improving the hemostasis of the dorsal venous complex and facilitating dissection of the prostate apex and urethra. The continence mechanism is the anatomical support of the urethra by the suspension of the tissues ventral to the urethra on the fascia of the pubic bone [38]. We reported that the suspension stitch resulted in a significantly shorter interval to the recovery of continence (suspension group: median, 6 weeks; 95% confidence interval [CI], 6.387 to 8.288 vs. non-suspension group: median, 7 weeks; 95% CI, 7.558 to 11.612; log-rank test, p=0.02) and higher continence rates 3 months after the procedure (p=0.013, 94 without suspension vs. 237 with suspension) [37].…”
Section: Periurethral Suspension Stitchmentioning
confidence: 99%
“…Lessons learned from 12,000 cases of RARP scribed by Rocco et al [22] in an open approach. It was further investigated and modified in detail as in a review of literature on RARP [39,40] and the most recent description of the technique was implemented in our study [38]. Briefly, we performed the first layer of the reconstruction between the remaining Denonvillier's fascia and the posterior aspect of the rhabdosphincter/posterior median raphe.…”
Section: Arcus Tendineus Fascia Pelvismentioning
confidence: 99%
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“…Urinary incontinence after a robot assisted radical prostatectomy (RARP) appears to have a multifactorial origin 1–5 . Several studies have identified factors that contribute to early urinary continence in patients that underwent RARP 1,2,6–10 . One of these factors is the length of the membranous urethra (MUL) 4,11,12 .…”
Section: Introductionmentioning
confidence: 99%