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Sphincter preservation techniques during radical prostatectomies: Lessons learned
Theodoros Spinos1, Iason Kyriazis1, Arman Tsaturyan1
1Department of Urology, University of Patras, Patras, Greece.
Urology Annals
|December 11, 2023
Summary
Radical prostatectomy can cause urinary incontinence. This review examines sphincter preservation techniques, finding bladder neck preservation crucial for improving continence after prostatectomy.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Urinary incontinence is a severe complication following radical prostatectomy.
- Continence rates significantly impact patient quality of life post-surgery.
Purpose of the Study:
- To review various sphincter preservation techniques used in radical prostatectomy.
- To identify techniques most effective in improving postoperative continence.
Main Methods:
- A narrative review of PubMed using keywords: "sphincter," "continence," "preservation," "techniques," and "prostatectomy."
- Included studies were also identified from reference lists.
Main Results:
- Sphincter preservation techniques focus on bladder neck preservation and minimizing injury to the external urethral sphincter and membranous urethra.
- Strong evidence supports bladder neck preservation for continence.
- High-quality studies lack statistically significant data on the impact of maximal external sphincter and membranous urethra preservation on continence rates.
Conclusions:
- Bladder neck preservation is a key technique for improving urinary continence after radical prostatectomy.
- Further high-quality research is needed to validate the impact of preserving the external sphincter and membranous urethra on postoperative continence outcomes.
