Abstract
Incontinence and impotence are the two chief drawbacks of radical prostatectomy (RP). Incontinence is the most relevant for most of the patients, even if there is high variability in terms of prevalence and definition of continence. Incontinence seems the result of several factors, the most important being the surgical injury of some structures and the biomechanical instability associated with vesicourethral anastomosis. In the posterior urethra, which guarantees the continence mechanism, two functionally independent regions can be recognized: the proximal and the distal. The proximal region can be identified with the bladder neck, while the distal region is the rhabdosphincter urethrae. Concerning the distal functional region, two kinds of strategy can be applied: the preservation of puboprostatic ligaments and urethral attachments, or the reconstruction of the urethral rhabdosphincter, which can be anterior, posterior or total. We describe our technique of choice for posterior reconstruction, first described by Rocco and then modified by Patel et al.
| Original language | Italian |
|---|---|
| Pages (from-to) | 35-38 |
| Number of pages | 4 |
| Journal | Urologia |
| Volume | 78 Suppl 18 |
| DOIs | |
| Publication status | Published - Oct 2011 |
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ASJC Scopus subject areas
- Medicine(all)
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Ralp e Rocco stitch : tecnica originale. / Spinelli, Matteo Giulio; Cozzi, Gabriele; Grasso, Angelica; Talso, Michele; Varisco, Daniela; Abed El Rahman, Davide; Acquati, Pietro; Albo, Giancarlo; Rocco, Bernardo; Maggioni, Augusto; Rocco, Francesco.
In: Urologia, Vol. 78 Suppl 18, 10.2011, p. 35-38.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Ralp e Rocco stitch
T2 - tecnica originale.
AU - Spinelli, Matteo Giulio
AU - Cozzi, Gabriele
AU - Grasso, Angelica
AU - Talso, Michele
AU - Varisco, Daniela
AU - Abed El Rahman, Davide
AU - Acquati, Pietro
AU - Albo, Giancarlo
AU - Rocco, Bernardo
AU - Maggioni, Augusto
AU - Rocco, Francesco
PY - 2011/10
Y1 - 2011/10
N2 - Incontinence and impotence are the two chief drawbacks of radical prostatectomy (RP). Incontinence is the most relevant for most of the patients, even if there is high variability in terms of prevalence and definition of continence. Incontinence seems the result of several factors, the most important being the surgical injury of some structures and the biomechanical instability associated with vesicourethral anastomosis. In the posterior urethra, which guarantees the continence mechanism, two functionally independent regions can be recognized: the proximal and the distal. The proximal region can be identified with the bladder neck, while the distal region is the rhabdosphincter urethrae. Concerning the distal functional region, two kinds of strategy can be applied: the preservation of puboprostatic ligaments and urethral attachments, or the reconstruction of the urethral rhabdosphincter, which can be anterior, posterior or total. We describe our technique of choice for posterior reconstruction, first described by Rocco and then modified by Patel et al.
AB - Incontinence and impotence are the two chief drawbacks of radical prostatectomy (RP). Incontinence is the most relevant for most of the patients, even if there is high variability in terms of prevalence and definition of continence. Incontinence seems the result of several factors, the most important being the surgical injury of some structures and the biomechanical instability associated with vesicourethral anastomosis. In the posterior urethra, which guarantees the continence mechanism, two functionally independent regions can be recognized: the proximal and the distal. The proximal region can be identified with the bladder neck, while the distal region is the rhabdosphincter urethrae. Concerning the distal functional region, two kinds of strategy can be applied: the preservation of puboprostatic ligaments and urethral attachments, or the reconstruction of the urethral rhabdosphincter, which can be anterior, posterior or total. We describe our technique of choice for posterior reconstruction, first described by Rocco and then modified by Patel et al.
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UR - http://www.scopus.com/inward/citedby.url?scp=84861815519&partnerID=8YFLogxK
U2 - 10.5301/RU.2011.8773
DO - 10.5301/RU.2011.8773
M3 - Articolo
C2 - 22101550
AN - SCOPUS:84861815519
VL - 78 Suppl 18
SP - 35
EP - 38
JO - Urologia
JF - Urologia
SN - 0391-5603
ER -