[Bladder neck reconstruction after radical prostatectomy]

Experience had with radical prostatectomy in patients presenting localized prostate carcinoma is shared. A modified technique for new bladder-neck formation contributing to continence preservation is used in five patients, yielding very good postoperative results. In four cases a full recovery of continence is achieved within 3 months of the operation without resorting to drug therapy. In one case medical treatment with parasympaticolytics and agonists of voluntary sphincter is applied. The final outcome is stress incontinence only and passage of urine in the event of micturition postponed with 3-3.5 hours.