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Current Urology Reports
Published in: Current Urology Reports 9/2017

Open Access 01-09-2017 | Urosurgery (P Sooriakumaran, Section Editor)

Surgical Techniques to Optimize Early Urinary Continence Recovery Post Robot Assisted Radical Prostatectomy for Prostate Cancer

Authors: Ashwin N. Sridhar, Mohammed Abozaid, Prabhakar Rajan, Prasanna Sooriakumaran, Greg Shaw, Senthil Nathan, John D. Kelly, Tim P Briggs

Published in: Current Urology Reports | Issue 9/2017

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Abstract

Purpose of Review

A variety of different surgical techniques are thought to impact on urinary continence (UC) recovery in patients undergoing robot assisted radical prostatectomy (RARP) for prostate cancer. Herein, we review current evidence and propose a composite evidence-based technique to optimize UC recovery after RARP.

Recent Findings

A literature search on studies reporting on surgical techniques to improve early continence recovery post robotic prostatectomy was conducted on PubMed and EMBASE. The available data from studies ranging from randomized control trials to retrospective cohort studies suggest that minimizing damage to the internal and external urinary sphincters and their neural supply, maximal sparing of urethral length, creating a secure vesicourethral anastomosis, and providing anterior and posterior myo- fascio-ligamentous support to the anastomosis can improve early UC recovery post RARP.

Summary

A composite evidence-based surgical technique incorporating the above principles could optimize early UC recovery post RARP. Evidence from randomized studies is required to prove benefit.
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Metadata
Title
Surgical Techniques to Optimize Early Urinary Continence Recovery Post Robot Assisted Radical Prostatectomy for Prostate Cancer
Authors
Ashwin N. Sridhar
Mohammed Abozaid
Prabhakar Rajan
Prasanna Sooriakumaran
Greg Shaw
Senthil Nathan
John D. Kelly
Tim P Briggs
Publication date
01-09-2017
Publisher
Springer US
Published in
Current Urology Reports / Issue 9/2017
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-017-0717-4

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