Radical Prostatectomy in Cases of Prostatic Carcinoma: The Problem of Postoperative Urinary Incontinence (With 1 color plate)

Hauri, D.; Heinzelmann, Michael; Konstantinidis, Konstantinos

doi:10.1159/000281350

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…The reported inci dence of postoperative urinary incontinence is however below 2% [ 10,27], In our study, there was no total loss of continence, 44% showed a slight stress incontinence. It is possible that tumor regression following endocrine treat ment enables the surgeon to perform a more precise dis section at the apex of the prostate.…”

Section: Discussioncontrasting

confidence: 51%

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Endocrine Treatment prior to Radical Retropubic Prostatectomy in Patients with T<sub>3</sub> Prostate Cancer: A Retrospective Study of 22 Patients

1992

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Twenty-two patients with locally advanced prostatic carcinoma stage T₃, N₀, M₀ have been treated with LH-RH agonists during a mean time of 5 months prior to radical retropubic prostatectomy. Although tumors appeared to be confined to the organ in 68% of the patients after endocrine treatment, pathological examination of the surgical specimens showed in 89% evidence of extraprostatic disease, which questions the clinical impression of ‘downstaging’. A disparity between the tumor grade of the biopsy and that of the operative specimen as well as an increased size of tumor-involved lymph nodes despite endocrine treatment led us to speculate that a certain proportion of patients will bear the risk of disease progression during preoperative androgen deprivation. Furthermore, there was local recurrence early in the postoperative course and at the high rate of 39%.

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Section: Discussioncontrasting

confidence: 51%

“…In 2 patients, prostatectomy was performed despite pelvic lymph node involve ment because of their young ages (57 and 63 years, respectively). Whenever possible, surgery was carried out according to a modified nerve-sparing method [ 1,10]. Postoperative follow-up ranged from 1 to 37 months (mean 16 months) in 3-to 5-month intervals.…”

Section: Methodsmentioning

confidence: 99%

Endocrine Treatment prior to Radical Retropubic Prostatectomy in Patients with T<sub>3</sub> Prostate Cancer: A Retrospective Study of 22 Patients

1992

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“…The anatomic relationship between the external striated urethral sphincter and the prostate apex is decisive in the maintenance of the urinary continence after radical prostatectomy and in many reconstructive surgeries, as for example, surgeries for vesical exstrophy (5,6).…”

Section: Introductionmentioning

confidence: 99%

Disposition of the striated urethral sphincter and its relation to the prostate in human fetuses

et al. 2007

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Objective: To describe the arrangement of the muscle fibers of the striated urethral sphincter and its relationship with the prostate during the fetal period in humans. Materials and Methods:We analyzed 17 prostates from well preserved fresh human fetuses ranging in age from 10 to 31 weeks postconception (WPC). Transversal sections were obtained and stained with Gomori's trichrome and immunolabeled with anti alpha-actin antibody. Results: We found that the urethral striated sphincter (rabdosphincter) is located on the periphery of the smooth muscle and there was no merge between striated and smooth muscle fibers in any fetal period. In the prostate apex, the striated sphincter shows a circular arrangement and covers completely the urethra externally, whereas adjacent to verumontanum, it looks like a "horseshoe" and covers only the anterior and lateral surfaces of the urethra. Near the bladder neck, in fetuses younger than 20 WPC, we have found striated muscle fibers only at the anterior surface of the prostate, while in fetuses older than 20 WPC, the striated muscle covers the anterior and lateral surfaces of the prostate. Conclusions: The urethral sphincter muscle covers the anterior and lateral surfaces of the urethra in all fetuses older than 20 WPC, close to the bladder neck and at the distal prostate. In the region of the prostate apex, the urethral sphincter covers completely the urethra circularly. The knowledge of the normal anatomy of the urethral sphincter in fetuses could be important to understand its alterations in congenital anomalies involving the base of the bladder, the bladder neck and the proximal urethra.

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Prostatakarzinom

Altwein¹

1997

Uroonkologie

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Radical Prostatectomy in Cases of Prostatic Carcinoma: The Problem of Postoperative Urinary Incontinence (With 1 color plate)

Cited by 7 publications

References 15 publications

Endocrine Treatment prior to Radical Retropubic Prostatectomy in Patients with T<sub>3</sub> Prostate Cancer: A Retrospective Study of 22 Patients

Endocrine Treatment prior to Radical Retropubic Prostatectomy in Patients with T<sub>3</sub> Prostate Cancer: A Retrospective Study of 22 Patients

Disposition of the striated urethral sphincter and its relation to the prostate in human fetuses

Prostatakarzinom

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