The Impact of Urinary Extravasation after Radical Retropubic Prostatectomy on Urinary Incontinence and Anastomotic Strictures

Schatzl, Georg; Madersbacher, Stephan; Hofbauer, J.; Pycha, Armin; Reiter, W; Svolba, Gerhard; Marberger, Michael

doi:10.1159/000067995

Cited by 28 publications

(29 citation statements)

References 18 publications

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“…These findings are in agreement with those reported by Schatzl et al [17] who also found no difference in the risks of anastomotic stricture and incontinence between men with and without urinary extravasation on cystogram on postoperative day 18 after radical retropubic prostatectomy. Similarly, Gaker et al [18] reported no association between degree of extravasation on cystogram and the degree of incontinence.…”

Section: O N G -T E R M R E L E V a N C E O F P O S T O P E R A T Isupporting

confidence: 93%

“…Surya et al [19] suggested that prolonged urine leaks are a risk factor for anastomotic stricture. By contrast, other studies have reported no significant increase in anastomotic stricture even in patients with cystographic leaks detected for postoperative times beyond 18 days [12,17].…”

Section: O N G -T E R M R E L E V a N C E O F P O S T O P E R A T Imentioning

confidence: 75%

“…Despite these studies [5,12,13] attempting to predict the postoperative anastomotic urine leak, there are few studies documenting longterm morbidity among such patients [17]. No relationship was found between urine leak and long-term erectile function, as measured by SHIM scores.…”

Section: O N G -T E R M R E L E V a N C E O F P O S T O P E R A T Imentioning

confidence: 99%

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What is the long‐term relevance of clinically detected postoperative anastomotic urine leakage after robotic‐assisted laparoscopic prostatectomy?

Rebuck¹,

Haywood²,

McDermott³

et al. 2011

BJU International

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• Univariate and multivariate analyses were performed. Outcomes were assessed at the most recent follow-up. RESULTS• Among 213 patients eligible for inclusion, 27 experienced an anastomotic urine leak (12.7%).• At a mean long-term follow-up of 24.2 months, there was no difference in SHIM scores (7.0 vs 13.1; P = 0.101), continence rates (87.5% vs 85.2%; P = 0.999) or risk of BNC (7.4% vs 3.2%; P = 0.268) between patients with and without postoperative anastomotic urine leaks, respectively.• The results did not change after controlling for covariates in a multivariate analysis.

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Section: O N G -T E R M R E L E V a N C E O F P O S T O P E R A T Isupporting

confidence: 93%

Section: O N G -T E R M R E L E V a N C E O F P O S T O P E R A T Imentioning

confidence: 75%

See 1 more Smart Citation

What is the long‐term relevance of clinically detected postoperative anastomotic urine leakage after robotic‐assisted laparoscopic prostatectomy?

Rebuck¹,

Haywood²,

McDermott³

et al. 2011

BJU International

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“…Urine leakage from the anastomosis also appears to be a major risk factor. Extravasation of urine at the anastomotic site has been associated with an increased incidence of anastomotic stricture [14]. Any anastomotic technique should provide mucosal to mucosal coaptation, tension-free anastomosis, ease of performance and proper urethral alignment.…”

Section: Discussionmentioning

confidence: 99%

“…Preserving the bladder neck and careful preparation of the apex may be helpful in solving this problem. These techniques tend to reduce the early rate of incontinence and the rate of bladder neck stenosis [1][2][3][4][5][6][7][8][9]14].…”

Section: Discussionmentioning

confidence: 99%

Vesicourethral Anastomotic Strictures after Radical Retropubic Prostatectomy: The Experience of a Single Institution

et al. 2004

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Objective: Stricture of the vesicourethral anastomosis remains a well-documented complication after radical retropubic prostatectomy. Materials and Methods: We performed a retrospective study of 294 patients with prostate cancer who underwent radical retropubic prostatectomy. Possible correlations between anastomotic stricture formation, tumor stage, positive surgical margins, number of anastomotic sutures, bladder neck preservation, urine leakage, previous prostate surgery and/or intraoperative blood loss were examined. Results: An anastomotic stricture was found in 18 cases (6%) requiring some kind of treatment. In 10 patients (56%), the bladder neck stricture occurred within 3 months after surgery, in 5 (28%) at 4–12 months after surgery and in 3 (16%) more than 12 months after surgery. Intraoperative blood loss (>1,000 ml) was found to be significantly correlated with urinary leakage (p < 0.001) and both correlated with anastomotic stricture formation (p < 0.005). Conclusion: Excessive intraoperative blood loss (>1,000 ml) and urine leakage was found to be significantly correlated to the formation of anastomotic stricture following radical retropubic prostatectomy.

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The Single Knot Running Vesico-Urethral Anastomosis

Albisinni

Aoun

Velthoven

2016

Practical Tips in Urology

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The Impact of Urinary Extravasation after Radical Retropubic Prostatectomy on Urinary Incontinence and Anastomotic Strictures

Cited by 28 publications

References 18 publications

What is the long‐term relevance of clinically detected postoperative anastomotic urine leakage after robotic‐assisted laparoscopic prostatectomy?

What is the long‐term relevance of clinically detected postoperative anastomotic urine leakage after robotic‐assisted laparoscopic prostatectomy?

Vesicourethral Anastomotic Strictures after Radical Retropubic Prostatectomy: The Experience of a Single Institution

The Single Knot Running Vesico-Urethral Anastomosis

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