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Related Experiment Videos

Continence level following radical prostatectomy.

P D O'Donnell1, T Brookover, M Hewett

  • 1Department of Urology, University of Arkansas for Medical Sciences, Little Rock.

Urology
|December 1, 1990
PubMed
Summary

Post-prostatectomy incontinence may depend on urethral anastomosis site. Continence was found to occur 9mm distal to the anastomosis in a study of radical prostatectomy patients.

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Special considerations in elderly individuals with urinary incontinence.

Urology·1998

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Radical prostatectomy is a common treatment for prostate cancer.
  • Postoperative urinary incontinence is a significant concern for patients after radical prostatectomy.
  • The precise relationship between the urethral anastomosis site and functional continence remains unclear.

Purpose of the Study:

  • To radiographically determine the functional level of urinary continence after radical prostatectomy.
  • To assess the relationship between the urethral anastomosis site and postoperative continence.

Main Methods:

  • A prospective study involving 8 patients who underwent radical prostatectomy.
  • Placement of an intraoperative hemoclip at the site of the urethral anastomosis.
  • Postoperative assessment of functional continence using standing lateral cystography.

Main Results:

  • The functional level of continence was identified at 9 mm (standard deviation = 3.0) distal to the urethral anastomosis.
  • This finding provides a radiographic reference for the location of continence.

Conclusions:

  • The functional level of continence after radical prostatectomy is located distally to the urethral anastomosis.
  • Individual patient factors may influence the precise location where continence is achieved.

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