Impact of puboprostatic ligament-sparing during anatomic radical retropubic prostatectomy on urinary continence
10.3760/cma.j.issn.1000-6702.2009.05.017
- VernacularTitle:保留耻骨前列腺韧带在耻骨后根治性前列腺切除术控尿中的作用
- Author:
Yong XU
;
Zhihong ZHANG
;
Baomin QIAO
;
Ranlu LIU
;
Kuo YANG
;
Changyi QUAN
;
Baojie MA
- Publication Type:Journal Article
- Keywords:
Prostatic neoplasms;
Prostatectomy;
Urinary incontinence;
Puboprostatic ligament
- From:
Chinese Journal of Urology
2009;30(5):340-343
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the contribution of puboprostatic ligament-sparing technique in urinary continence after radical retropubic prostatectomy (RRP). Methods A total of 74 men with clinically localized prostate cancer underwent RRP. Of whom, 50 patients were performed pubo-prostatic ligament-sparing technique(group A), while 24 patients were not(group B). Patients were evaluated by independent observer questionnaire to determine their urinary continence status. Results Mean patient age [(61.3±2.4) vs (60.8±2.1)years], serum prostate-specific antigen (PSA) values [14.3±1.2)ng/ml vs (14.7±1.3) ng/ml], operative time [(110.5±10.4)min vs (109.7±10.6) mini, estimated blood loss [(250.5±23.4) ml vs (253.4±22.3) ml], and positive surgical margin rate (6% vs 8%) were not significantly different between group A and B(P>0.05). The urinary con-tinence rate with the puboprostatic ligament-sparing technique at 1-year follow-up was significantly higher than that of the control group (P<0.05). Concision The puboprostatic ligament-sparing technique significantly enhances post-operative urinary continence after RRP.
