EARLY CONTINENCE RECOVERY IN PATIENTS WITH RADICAL PROSTATECTOMY

Abstract

From 2008 to July 2010 95 patients underwent radical prostatectomy (RP) – 12 of them – laparoscopic prostatectomy, 83 – retropubic prostatectomy. In 43 patients suspension of urethral anastomosis was not performed. 11 patients underwent the Noguchi's front suspension (11,6%), 22 patients – Tewari's complete reconstruction of the fascial structures (23,1%) and 19 – complete reconstruction of the fascial structures with a modified technique of the rear suspension with a deficit of length of aponeurosis Denonvile (20%). Monitoring of continence was conducted on the third day of the removal of the catheter, in 1 month, 3 months, 6 months and 1 year. 74.7% of patients evaluated in a period of 6 months and only 54,7% of patients – in a year after surgery. On third day of removal of the catheter continence in a group without complete suspension was 20,9%, with front suspension – 27,3% in the group with Tewari's reconstruction – 49,9%, with Denonvile suspension – 36,8% respectively. 1month continence was 36,6%, 54,5%, 76,2% 78,9% respectively. Through threemonth observation full time continence was achieved in 63,8%, 60%, 85,7% and 73,3% respectively. Through 6 months and 12 months observation there was no significant difference in continence in all groups.

Keywords

radical prostatectomy / continence / suspension of urethral anastomosis

RIGHTS & PERMISSIONS

Perepechay V.A., Dmitriadi S.N., Alekseev B.Y.