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Early continence after radical prostatectomy.

E A Klein1

  • 1Department of Urology, Cleveland Clinic Foundation, Ohio.

The Journal of Urology
|July 1, 1992
PubMed
Summary
This summary is machine-generated.

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This study shows that incorporating posterior urethral fascia into the vesicourethral anastomosis after radical prostatectomy improves urinary continence. This technique achieved 88% complete continence, reducing patient morbidity.

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Radical prostatectomy for prostate cancer can lead to urinary incontinence.
  • Restoring urinary continence is a key goal for improving patient quality of life post-surgery.

Purpose of the Study:

  • To evaluate the efficacy of incorporating posterior urethral fascia into the vesicourethral anastomosis for improving urinary continence after radical prostatectomy.

Main Methods:

  • Prospective evaluation of 60 consecutive patients undergoing radical prostatectomy.
  • Inclusion of the fascia posterior to the urethra in the vesicourethral anastomosis technique.

Main Results:

  • Complete urinary continence achieved in 88% of patients.
  • Stress incontinence in 10%, total incontinence in 2%.

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  • Median time to continence was 5 weeks, with 83% continent by 3 months.

    • Conclusions:

    • Incorporating posterior urethral fascia into the vesicourethral anastomosis is an effective technique for achieving early urinary continence.
    • This surgical modification potentially lessens the morbidity associated with radical prostatectomy.