A Novel Surgical Technique for Preserving the Bladder Neck During Robot-Assisted Laparoscopic Radical Prostatectomy: Preliminary Results

• DOI: 10.1089/end.2014.0459
• Publication Date: 2014-07-21T22:35:26Z
• Authors: Lutfi Tunc; Huseyin Gumustas; Yigit Akin; Sinan Atkin; Tuncay Peker; Ozlem Erdem; Ibrahim Bozkirli
• Keywords: Laparoscopic radical prostatectomy; Urinary continence

To describe our new surgical technique for preserving the bladder neck during robot-assisted laparoscopic prostatectomy (RALP) and to present anatomy between prostate.Between December 2012 May 2014, 52 RALPs were performed at institute. Demographic, perioperative, postoperative data recorded. Quality of life (QoL) scores assessed before RALP, after urethral catheter removal, first month RALP. Fatty connective tissue prostate was introduced, circular muscle fibers internal sphincter seen in all patients. Complications classified according Clavien-Dindo classification. Statistical analyses performed.Mean follow-up 9.6±5.2 months; mean age 61.1±6.5 years. Our novel patients, they continent removal; duration 9.4±1.4 days. There a significant difference QoL RALP however, but there no statistical 1 (respectively; P<0.001, P=0.5). Furthermore, complication related such as stricture, acute/chronic urinary retention, well Clavien III, IV, V complications. In addition, conventional laparoscopy and/or open surgery not needed any cases.Our provided very early continence time removal within short-term follow-up. This can help recovery develop