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Review
. 2017 Sep;18(9):71.
doi: 10.1007/s11934-017-0717-4.

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

Ashwin N Sridhar  1   2 , Mohammed Abozaid  3 , Prabhakar Rajan  3 , Prasanna Sooriakumaran  3   4 , Greg Shaw  3 , Senthil Nathan  3   5 , John D Kelly  3   5 , Tim P Briggs  3
Affiliations
Review

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

Ashwin N Sridhar et al. Curr Urol Rep. 2017 Sep.

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. 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.

Keywords: Robotic prostatectomy; Surgical techniques; Urinary continence; Urosurgery.

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Conflict of interest statement

Conflict of Interest

Ashwin N. Sridhar, Mohammed Abozaid, Prabhakar Rajan, Greg Shaw, Senthil Nathan, John D. Kelly, and Tim P. Briggs each declare no potential conflicts of interest.

Prasanna Sooriakumaran is a section editor for Current Urology Reports.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Figures

Fig. 1
Fig. 1
a Supporting structures pre-prostate removal. b Supporting structures post prostate removal
See this image and copyright information in PMC

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