Work

Anatomical, surgical and technical factors influencing continence after radical prostatectomy

Year: 2019

Type: review

Abstract: Radical prostatectomy (RP) is the most frequent treatment with curative intent performed for prostate cancer to date. Different surgical approaches (perineal, transperitoneal, and extraperitoneal) and techniques (laparoscopic and robot assisted) have been described to increase the efficiency and potentially diminish the postoperative complications of this procedure. The aim of this narrative review is to investigate and define the factors that influence postprostatectomy urinary continence. We highlighted the anatomical landmarks and the modifications of surgical techniques aimed at improving the continence rates and thus, patient quality of life. After RP, the long-term continence rates range from 84% to 97%. In order to achieve good continence rates, a careful dissection along with meticulous anatomical reconstruction is required. To this end, a detailed knowledge of the periprostatic anatomy is mandatory.

Source: Therapeutic Advances in Urology

DOI: 10.1177/1756287218813787

Authors: Carlos Arroyo, Alberto Martini, Joanna Wang, Ashutosh K. Tewari

Institutions: Universidad Anáhuac, Universidad Anáhuac Puebla, Icahn School of Medicine at Mount Sinai

Language: English

Topic: Prostate Cancer Diagnosis and Treatment

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,200