Total anatomical reconstruction during robot-assisted radical prostatectomy: focus on urinary continence recovery and related complications after 1000 procedures

BJU International
Matteo ManfrediFrancesco Porpiglia

Abstract

To present the functional and oncological outcomes after ≥1 year of follow-up, following an experience of >1000 robot-assisted radical prostatectomies (RARPs) with our standardised total anatomical reconstruction (TAR) technique. To evaluate which factors influence postoperative continence recovery in order to obtain a nomogram to predict the risk of postoperative urinary incontinence (UI). The enrolment phase began in June 2013 and ended in May 2017. Patients were prospectively included in the study with the following inclusion criteria: (i) localised prostate cancer (clinical stages cT1-3, cN0, cM0); (ii) indication for RP; and (iii) preoperative multiparametric prostate magnetic resonance imaging. All patients underwent RARP with the TAR technique done at the end of the demolitive phase. The continence rates were assessed at 24 h, and 1, 4, 12, 24 and 48 weeks after catheter removal. Patients were defined as continent if they answered 'zero pad' or 'one safety pad' per day. A logistic regression model was used to evaluate the potential impact of some pre- and intraoperative factors on postoperative urinary continence recovery. Model discrimination was assessed using an area under (AUC) the receiver operating characteristic (...Continue Reading

References

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Jul 25, 2018·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Stefano GeunaFrancesco Porpiglia

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Citations

Apr 6, 2020·BJU International·Enrico CheccucciUNKNOWN Uro-technology and SoMe Working Group of the Young Academic Urologists Working Party of the European Association of urology
Nov 12, 2019·Frontiers in Surgery·Lena TheissenPhilipp Mandel
Jun 3, 2021·Journal of Clinical Medicine·Gerardo-Alfonso Márquez-SánchezMaría-Fernanda Lorenzo-Gómez

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