作者
Rafael F Coelho, Sanket Chauhan, Marcelo A Orvieto, Ananthakrishnan Sivaraman, Kenneth J Palmer, Geoff Coughlin, Vipul R Patel
发表日期
2011/1/1
期刊
European urology
卷号
59
期号
1
页码范围
72-80
出版商
Elsevier
简介
BACKGROUND: Posterior reconstruction (PR) of the rhabdosphincter has been previously described during retropubic radical prostatectomy, and shorter times to return of urinary continence were reported using this technical modification. This technique has also been applied during robot-assisted radical prostatectomy (RARP); however, contradictory results have been reported. OBJECTIVE: We describe here a modified technique for PR of the rhabdosphincter during RARP and report its impact on early recovery of urinary continence and on cystographic leakage rates. DESIGN, SETTING, AND PARTICIPANTS: We analyzed 803 consecutive patients who underwent RARP by a single surgeon over a 12-mo period: 330 without performing PR and 473 with PR. SURGICAL PROCEDURE: The reconstruction was performed using two 6-in 3-0 Poliglecaprone sutures tied together. The free edge of the remaining …
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