Posterior Reconstruction of the Rhabdosphincter Allows a Rapid Recovery of Continence after Transperitoneal Videolaparoscopic Radical Prostatectomy

Bernardo Rocco, Andrea Gregori, Silvio Stener, Luigi Santoro, Andrea Bozzola, Stefano Galli, Roberto Knez, Francesco Scieri, Alessandra Scaburri, Franco Gaboardi

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: Urinary incontinence is one of the major drawbacks of radical retropubic prostatectomy (RRP). One of the possible reasons for this urinary incontinence is a postoperative deficiency of the rhabdosphincter (RS). It has been recently demonstrated that reconstruction of the posterior aspects of the RS allows a rapid recovery of continence after RRP. This study evaluated the application of this technique in videolaparoscopic radical prostatectomy (VLRP), assessing the percentage of continent patients at 3, 30, and 90 d after catheter removal. Methods: A two-arm prospective comparative trial was carried out with 31 patients recruited for each arm. Group A underwent standard VLRP and group B underwent VLRP with RS reconstruction (VLRP-R). Continence was defined as no pads or one diaper/24 h and was assessed 3, 30, and 90 d after the procedure. Results: At catheter removal, 74.2% versus 25% (p = 0.0004) of patients were continent with the VLRP-R technique versus VLRP, respectively. A statistically significant difference was present at 30 d (83.8% vs. 32.3%; p = 0.0001) At 90 d the difference, although still present, was not statistically significant (92.3% vs. 76.9%; p = 0.25). Conclusions: In this preliminary report, the posterior reconstruction of the RS appears to be an easy and feasible technique even in a laparoscopic setting. Time to continence recovery was significantly shortened.

Original languageEnglish
Pages (from-to)996-1003
Number of pages8
JournalEuropean Urology
Volume51
Issue number4
DOIs
Publication statusPublished - Apr 2007

Keywords

  • Continence
  • Laparoscopy
  • Prostate cancer

ASJC Scopus subject areas

  • Urology

Fingerprint Dive into the research topics of 'Posterior Reconstruction of the Rhabdosphincter Allows a Rapid Recovery of Continence after Transperitoneal Videolaparoscopic Radical Prostatectomy'. Together they form a unique fingerprint.

Cite this