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Effect of bladder neck preservation during endoscopic extraperitoneal radical prostatectomy on urinary continence
- Source :
- Urologia internationalis. 85(2)
- Publication Year :
- 2009
-
Abstract
- Objective: The current study investigates the effect of bladder neck (BN) preservation on postoperative continence and positive surgical margins (+SMs). Patients and Methods: 150 patients (group 1) who underwent BN-sparing endoscopic extraperitoneal radical prostatectomy (EERPE) and 90 patients treated with EERPE and BN resection (group 2) were retrospectively evaluated. Results: Both groups were similar for age, prostate-specific antigen and prostate size. There was no significant difference in operative time, mean blood loss or transfusion rate. Mean catheterization time was similar. The overall +SM rates were very similar at 10.7% for group 1 and 10.0% for group 2 (group 1, pT2 = 5.1% and pT3 = 30.3%; group 2, pT2 = 2.9% and pT3 = 33.3%). One of 16 patients in group 1 and 1 of 9 in group 2 had a +SM at BN. Statistically significant differences in continence were observed 24 h after catheter removal and 3 months postoperatively between both groups. Conclusion: BN preservation proved to have an impact on postoperative early continence of patients undergoing EERPE. Continence of patients who underwent BN preservation was improved after catheter removal and at the 3-month follow-up in comparison to those without BN preservation, but +SMs were not affected by the BN-sparing surgery.
- Subjects :
- Adult
Male
Transfusion rate
medicine.medical_specialty
Time Factors
Urology
medicine.medical_treatment
Urinary Bladder
Blood Loss, Surgical
Blood loss
medicine
Humans
Blood Transfusion
Aged
Retrospective Studies
Aged, 80 and over
Prostatectomy
Chi-Square Distribution
Urinary continence
Greece
business.industry
Significant difference
Endoscopy
Middle Aged
Surgery
Neck of urinary bladder
Treatment Outcome
Urinary Incontinence
Operative time
Positive Surgical Margin
business
Urinary Catheterization
Subjects
Details
- ISSN :
- 14230399
- Volume :
- 85
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Urologia internationalis
- Accession number :
- edsair.doi.dedup.....235a8667b4c1fd63baedf875cb9eeb35