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Continence-preserving anatomic radical retropubic prostatectomy.
1Department of Urology, University of Tennessee, Memphis, Memphis, Tennessee 38163, USA.
Urology
|March 4, 2000
Summary
Preserving the urethral sphincter and its nerves during radical prostatectomy speeds up urinary continence recovery. This technique enhances patient outcomes after prostate cancer surgery.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Urinary continence after radical prostatectomy is a significant patient concern.
- Regaining urinary control can be a lengthy process following the procedure.
Purpose of the Study:
- To describe the surgical principles for continence-preserving radical prostatectomy.
- To highlight the importance of preserving specific anatomical structures for urinary control.
Main Methods:
- Focus on "no touch" or "avoidance" surgical principles.
- Emphasize preservation of the external striated urethral sphincteric complex.
- Detail preservation of rhabdosphincter musculature, fascial investments, and nerve supply (somatic and autonomic).
Main Results:
- Continence-preserving radical prostatectomy involves meticulous surgical technique.
- Preservation of the sphincter complex and its innervation is key.
Conclusions:
- Anatomically preserving the external striated urethral sphincter, its innervation, and fascial attachments leads to improved outcomes.
- Continence-preserving anatomic retropubic prostatectomy shortens the time to achieve urinary continence.