Laparoscopic/ Robotic: Prostate

Moderated Poster Session

MP20-5 - Combined Complete Bladder Neck (BN) and Prostatic Urethra Partial Preservation with Triple-layer Posterior Bladder Wall Reconstruction Lead to Improved Urinary Continence After Robotic-assisted Radical Prostatectomy

Saturday, September 22
2:00 PM - 4:00 PM
Location: Room 242B

Introduction & Objective :

To evaluate the combined complete bladder neck and partial prostatic urethra preservation with triple-layer posterior bladder wall reconstruction (TPWR) on the early removal of Foley catheter and urinary continence after robotic-assisted radical prostatectomy (RARP).


Methods :

Total of 485 patients with localized prostate cancer underwent RALP, with 187 men undergoing standard BN dissection with Ven velthoven continuous suturing (group 1) and 298 men undergoing combined complete BN and partial prostatic urethra preservation using LBND with TPWR and Ven velthoven continuous suturing (group 2).  Pre- and postoperative urinary function and continence recovery were evaluated and compared between the two groups<./strong>


Results :

The overall positive margin rate was lower in group 2 with 11.2% and 15.6% for group 1 (p=0.045). Early removal of Foley catheter at POD 6th was seen in 90.6% group 2 whereas only 16.2 % was seen in group 1. Postoperative continence was evaluated by EPIC short form questionnaire. At POD 1 and 6 months, the mean urinary function scores were higher in group 2 compared to group 1 with statistical significance (p=0.031 at 1month, p=0.043 at 6 months). Group 2 showed significantly higher continence rates at 1 and 6 months post-RALP than group 1. In group 2, the recovery of continence approached to 89.6% at postoperative 6 months showing early return of continence.


Conclusions :

Early removal of Foley catheter with improved postoperative continence and urinary functions after RALP can be achieved by combined complete bladder neck  and partial prostatic urethra preservation using  lateral BN dissection technique with triple-layer posterior bladder wall reconstruction.  

Gyung Tak Mario Sung

Professor of Urology
Dong-A University Hospital, Korea

Presentation(s):

    Send Email for Gyung Tak Mario Sung

    Soodong Kim

    Associate Professor of Urology
    Dong-A University Hospital, Korea

    Soodong KIm
    Associate professor
    Department of Urology
    Dong-A University in Korea

    Presentation(s):

      Send Email for Soodong Kim


      Assets

      MP20-5 - Combined Complete Bladder Neck (BN) and Prostatic Urethra Partial Preservation with Triple-layer Posterior Bladder Wall Reconstruction Lead to Improved Urinary Continence After Robotic-assisted Radical Prostatectomy



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