(Sağlık Bilimleri Üniversitesi, Eğitim ve Araştırma Hastanesi, Üroloji Anabilim Dalı, Erzurum, Türkiye)
Fatih Kürşat YILMAZEL
(Sağlık Bilimleri Üniversitesi, Eğitim ve Araştırma Hastanesi, Üroloji Anabilim Dalı, Erzurum, Türkiye)
Ali Haydar YILMAZ
(Bilecik Devlet Hastanesi, Üroloji Kliniği, Bilecik, Türkiye)
Erkan Cem ÇELİK
(Sağlık Bilimleri Üniversitesi, Eğitim ve Araştırma Hastane, Anesteziyoloji ve Reanimasyon Bölümü, Erzurum, Türkiye)
(Atatürk Üniversitesi, Tıp Fakültesi, Patoloji Bölümü, Erzurum, Türkiye)
(Atatürk Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Erzurum, Türkiye)
(Atatürk Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Erzurum, Türkiye)
(Atatürk Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Erzurum, Türkiye)
Yıl: 2020Cilt: 52Sayı: 1ISSN: 1308-8734 / 1308-8742Sayfa Aralığı: 57 - 60İngilizce

21 0
Effect of Reconstructive Techniques on Continence in Robot-Assisted Laparoscopic Prostatectomy: Novel Combination of Long Urethral Stump and Anterior Suspension Suture
Objective: To investigate the effects of the novel combination of a long urethral stump and anterior suspension suture in patients who underwent Robot-Assisted Laparoscopic Prostatectomy (RALP) for localized prostate cancer Materials and Methods: Of the 40 participating patients, 20 did not undergo any reconstructive technique, whereas the remaining 20 patients underwent reconstructive technique that included the combination of long urethral stump and anterior suspension suture. Body mass index (BMI) (kg/m2 ), age, preoperative prostate-specific antigen (PSA) levels, prostate volume, Gleason score, D’Amico risk class, clinical stage, operation type and the application of either perioperative or postoperative reconstructive techniques, and the duration of catheterization were the parameters investigated. Continence rate was measured in the 3rd, 6th, and 12th month after the removal of the catheter. Both techniques were compared statistically. Results: The control and reconstructive groups each comprised 20 patients. Between the groups, no statistically significant differences were observed in age, BMI, American Society of Anesthesiologists class, risk group, prostate weight, perioperative PSA, duration of surgery, duration of hospitalization, surgical margins, and the total amount of bleeding (p>0.05). Continence rate was significantly higher in the reconstructive group in the 3rd and 6th months compared with the control group (p<0.05). Conclusion: The combination of anterior suspension suture and long urethral stump contributed to early improvement in the continence rates.
DergiAraştırma MakalesiErişime Açık
  • 1. Walsh PC. Anatomic Radical Retropubic Prostatectomy. In: Walsh PC, Retik AB, Vaughan ED Wein AJ (Eds): Campell's Urology 7th Edition 1998; 2565-88.
  • 2. Bianco FJ Jr, Scardino PT, Eastham JA. Radical prostatectomy: long term cancer contro and recovery of sexual and urinary function('trifecta'). Urology 2005; 66: 83-94. [CrossRef]
  • 3. Salomon L, Saint F, Anastasiadis AG, Sebe P, Chopin D, Abbou CC. Combined reporting of cancer control and functional results of radical prostatectomy. Eur Urol 2003; 44: 656-60. [CrossRef]
  • 4. Ficarra V, Novara G, Rosen RC, at al. Systematic review and meta-analysis of studies reporting urinary cantinence recovery after robot-asisted radical prostatectomy. Europan Urology 2012; 62: 405-17. [CrossRef]
  • 5. Ficarra V, Novara G, Artibani W, at al. Retropubic, laparoskopic and robot asisted radical prostatectomy: a systematic review and cumulative analysis of comparative studies. Europan Urology 2009; 55: 1037-63. [CrossRef]
  • 6. Guillonneau B, Cathelineau X, Barret E, Rozet F, Vallencien G. Laparoscopic radical prostatectomy: technical and early oncological assessment of 40 operations. Eur Urol 1999; 36: 14-20. [CrossRef]
  • 7. Menon M, Tewari A, Peabody JO, et al. Vakutiti Institue prostatectomy, a technique of robotic radikal prostatectomy for management of lacalized carcinoma of the prostate; experience of over 1100 cases. Urol Clin North Am 2004; 31: 701-17. [CrossRef]
  • 8. Ficcara V, Novara G, Rosen RC, at al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot- assisted radical prostatectomy. European Urology 2012; 62: 405-17. [CrossRef]
  • 9. Carlson KV, Nitti NW. Prevantion and management of incontinence following radical prostatactomy. Urol Clin North Am 2001; 28: 595-612. [CrossRef]
  • 10. CoehloRF, Rocco B, Patel MB, at al. Retropubic, laparoscopic and robot asisted radical prostatectomy: a critical review of outcomes reported by high volume centres. J Endourol 2010; 24: 2003- 15. [CrossRef]
  • 11. Kural AR, Altuğ F. The applications of robotic surgery in Urology. Turk J Urol 2010; 36: 248-57. [CrossRef]
  • 12. Patel VR, Palmer KJ, Coughlin G, Samavedi S. Robotic-Asisted Laparoscopic Radical Prostatectomy: periopetaive outcomes of 1500 cases. J Endourol 2008; 22: 2299-306. [CrossRef]
  • 13. Steiner MS. The pubuprostatic ligament and male urethral suspensory mechanism: an anatomic study. Urology 1994; 44: 530-4. [CrossRef]
  • 14. Noguchi M, Kakuma T, Suekena S, Nakashima O, Mohammed R, Matsuoka K. A randomized clinical trial of suspension technique for improving early recovery of urinary continance after radical retropubicprostateectomy. BJU Int 2008; 102: 958-63. [CrossRef]
  • 15. Hamada A, Razdan S, Etafy MH, Fagin R. Early Return of Continance in Patients Undergoing Robot-Asisted Laparoscopic Prostatectomy Usuing Modified Maximal Urethral Length Preservation Technique. J Endourol 2014; 28; 930-8. [CrossRef]
  • 16. Jeong SJ, Yeon JS, Lee JK, at al. Development and validation of nomograms to predict the recovery of urinary continence after radical prostatectomy: comparisons between immediate, early, and late continence. World J Urol 2014; 32: 437-44. [CrossRef]
  • 17. Link BA, Soga H, Jsephon DY, et al. The impact of prostat gland weight in robot asisted laparoscopic radical prostatectomy. J Urol 2008; 180: 928-32. [CrossRef]
  • 18. Zom KC, Orvietto MA. Mikhail AA, et al. Effect prostat weight on operative and postoperative outcımes robot-asissted laparoscopic prostatectomy. Urology 2007; 69: 300-5. [CrossRef]
  • 19. Kontey BR, Sadetsky N, Caroll PR; CaPSURE Investigators. Recovery of urinary continence following radical prostatectomy: the impact of prostate volume analysis of data capsure database. J Urol 2007; 177: 1423. [CrossRef]
  • 20. Wolin KY, Luy J, Sutcliffe S, Androile GL, Kibel AS. Risk of Urinary Incontinance Following Prostatectomy: the role physical activity and obesity. J Urol 2010; 183: 629-33. [CrossRef]
  • 21. Sugaya K, Oda M, Nishijima S, et al. Risk factors for duration of urinary ıncontinance after radical prostatcetomy. Nihon Hinyokika Gakkai Zasshi 2002; 93: 444. [CrossRef]

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © 2019 Tüm Hakları Saklıdır.