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Continence-preserving anatomic radical retropubic prostatectomy: the "No-Touch" technique
1Department of Urology, University of Tennessee, Memphis, 956 Court Avenue, Room H216, Memphis, TN 38163, USA. Msteiner@utmem.edu
Current Urology Reports
|June 27, 2002
Summary
This study details a prostatectomy technique that preserves the external striated urethral sphincteric (EUS) complex. This method improves urinary control and speeds up recovery of continence after surgery.
Area of Science:
- Urology
- Surgical Oncology
- Pelvic Anatomy
Background:
- Radical prostatectomy can impact urinary continence.
- Preservation of the external striated urethral sphincteric (EUS) complex is crucial for urinary control.
Purpose of the Study:
- To describe a continence-preserving anatomic radical retropubic prostatectomy technique.
- To highlight methods for maximizing the preservation of the EUS complex.
Main Methods:
- Focuses on preserving anterolateral and posterior fascial attachments of the EUS.
- Emphasizes protecting the EUS innervation.
- Avoids specific suture placement (5 and 7 o'clock positions) during urethrovesical anastomosis.
Main Results:
- The described technique aims to maintain the integrity of the EUS complex.
- Preservation of the EUS and its innervation is facilitated.
- Shorter time to achieve urinary continence is anticipated.
Conclusions:
- Continence-preserving anatomic retropubic prostatectomy enhances urinary control post-surgery.
- Careful surgical technique is key to preserving EUS function.
- This approach can lead to improved patient outcomes regarding continence.