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sustainable functional urethral reconstruction:Maximizing early continence recovery in robotic-assisted radical prostatectomy

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Asian Journal of Urology 2021年第1期8卷 126-133页

作者： Zepeng Jia Yifan Chang Yan Wang Jing Li Min Qu Feng Zhu Huan Chen Bijun Lian Meimian Hua Yinghao Sun Xu Gao Department of Urology Changhai HospitalSecond Military Medical UniversityShanghaiChina

Objective:To evaluate the safety profile and short-term functional outcome of sustainable functional urethral reconstruction(SFUR)in robotic-assisted radical prostatectomy(RARP).Methods:One hundred and sixty-two consecutive prostate cancer patients who underwent RARP were retrospectively analyzed,in which 53 had undergone SFUR while the other 109 had undergone conventional RARP ***,2-week,1-month and 3-month continence recovery and other perioperative data were compared to evaluate short-term surgical and functional ***:The median age was 68 and 67 years in the experimental group and control group,respectively(pZ0.206),with a median prostate-specific antigen(PSA)of 13.6 ng/mL(interquartile range[IQR],8.46e27.32 ng/mL)in the experimental group and 13.84 ng/mL(IQR,9.12e26.80 ng/mL)in control group(pZ0.846).Immediate,2-week,1-month and 3-month continence recovery rates between the groups were 34.0%vs.3.7%,50.9%vs.14.7%,62.3%vs.27.5%,and 79.2%vs.63.3%(all preconstruction technique were maintained on magnetic resonance imaging(MRI)3 months ***-sparing procedures and adoption of the new reconstruction technique were significantly relevant to continence recovery on logistics regression model(p<0.001).Conclusions:SFUR is a safe and easy-to-handle modification that may contribute to early continence return for ***-term follow-up and prospective studies are required to further evaluate its value in postoperative quality-of-life improvement.

关键词： Prostate cancer Prostatectomy Robotic surgery Urinary incontinence sustainable functional urethral reconstruction

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