López-Verdugo JF, Fernández-González AH, Vargas-Valtierra P, Camacho-Trejo VF, Zapata-González A

Language: Spanish
References: 13
Page: 53-56
PDF size: 249.90 Kb.

ABSTRACT

Objective: To determine if bladder neck suspension and pexis after nerve-sparing radical prostatectomy results in an improvement of short- and mid-term urinary continence.
Materials and methods: An observational study utilizing a convenience sample was carried out. Patients were nonrandomly assigned to two groups. A total of 79 consecutive patients presenting with localized prostate adenocarcinoma who underwent laparoscopic prostatectomy with bilateral neuropreservation were included in the study. Group I was made up of 40 patients who underwent laparoscopic prostatectomy with running suture urethrovesical anastomosis. Group II consisted of 39 patients who underwent bladder neck pexis/suspension after urethrovesical anastomosis.
Results: Urinary continence was evaluated on days 1, 7, 30 and 90 of Foley catheter removal. In Group I continence on day one of catheter removal was 27.5%%, on day seven 62.5%, on day thirty 75% and on day ninety 80%. In Group II on day one continence was 51.28%, on day seven 66.6%, on day thirty 79.48% and on day ninety 94.87%.
Conclusions: In our series of patients, bladder neck suspension and pexis after nerve-sparing radical prostatectomy with running suture urethrovesical anastomosis resulted in a notable time reduction for recuperating early urinary continence. This difference was most significantly noticed on day one of catheter removal. The difference between groups became less from day seven to day thirty. However, better results were seen for all measurements in the group treated with bladder neck suspension and pexis.

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