Role of sparing of puboprostatic ligaments on continence recovery after radical prostatectomy

• Verfasst von: Assem, Akram [VerfasserIn]
• Verfasst von: Youssif, Tamer Abou [VerfasserIn]
• Verfasst von: Hamdy, Seif M. [VerfasserIn]
• Verfasst von: Beltagy, Ahmad M. [VerfasserIn]
• Verfasst von: Gözen, Ali Serdar [VerfasserIn]
• Titel: Role of sparing of puboprostatic ligaments on continence recovery after radical prostatectomy
• Titelzusatz: a randomized controlled trial
• Verf.angabe: Akram Assem, Tamer Abou Youssif, Seif M. Hamdy, Ahmad M. Beltagy, Ali Serdar Gozen
• E-Jahr: 2021
• Jahr: 2021-01-02
• Umfang: 5 S.
• Fussnoten: Gesehen am 17.04.2024
• Titel Quelle: Enthalten in: Scandinavian journal of urology
• Ort Quelle: Abingdon : Taylor & Francis, 2013
• Jahr Quelle: 2021
• Band/Heft Quelle: 55(2021), 1, Seite 22-26
• ISSN Quelle: 2168-1813
• DOI: doi:10.1080/21681805.2020.1849389
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1886104034

Abstract

Abstract Objective Sparing of puboprostatic ligaments (PPLs) during radical prostatectomy was introduced as a technique to improve urinary continence. This study aims to study the effect of sparing of PPLs during laparoscopic radical prostatectomy in terms of continence during the first 3 months. Methods A total of 74 patients, diagnosed with clinically localized prostate cancer, were randomly assigned to two equal groups; PPLs division and sparing during LRP. Based on the number of daily used pads, both groups completed 3 months follow-up to assess continence recovery. The effects of age, preoperative total prostate-specific antigen (PSA) and clinical tumor stage on continence recovery were also studied. The study was registered and approved by the Ethics Committee of Alexandria University-Faculty of Medicine (Protocol No. 0201074). Results Seventy-four patients were enrolled, with a mean age of 63.8 years. Baseline characteristics were comparable, except significantly higher mean PSA in the division group. Sixty patients were continent (0-1 pad/day) at 3 months follow-up. Continence was significantly better in the sparing than division group at 1 week after catheter removal (67.6% vs 40.5%, p = 0.01), at 1 month (73% vs 45.9%, p = 0.009) and 2 months (89.2% vs 51.4%, p = 0.0001). At 3 months follow-up, there was no significant difference between both groups (83.3% vs 78.4% for sparing and division groups, respectively; p = 0.28). Moreover, continence was significantly improved at 3 months compared to 1 week in both groups. Conclusion Sparing of puboprostatic ligaments during radical prostatectomy significantly improves postoperative early recovery of urinary continence.