Modified apical dissection improves early continence in robot-assisted laparoscopic radical prostatectomy: Comparative study between modified apical dissection and anterior suspension stitch

• DOI: 10.4111/icu.20220235
• Publication Date: 2022-10-27T04:56:56Z
• Authors: Ha Eun Kang; Seung Bin Kim; Tae Il Noh; Ji Sung Shim; Seok Ho Kang; Jun Cheon; Jong Hyun Tae; Vipul R. Patel; Sung Gu Kang
• Keywords: Laparoscopic radical prostatectomy; Urinary continence

Recently, the modified apical dissection (MAD) technique in robot-assisted laparoscopic radical prostatectomy (RARP) has shown excellent functional outcomes but never been rigorously validated at various institutions. This study aimed to evaluate effect of MAD on early continence and potency compared with anterior suspension stitch (SS) technique.A total 100 patients who underwent RARP SS by a single surgeon were propensity score matched retrospectively for recovery 1 week 1, 3, 6, 9, 12 months.Continence was reached 20.6%, 33.3%, 67.2%, 74.1%, 81.1%, 83.0% group, 49.2%, 73.3%, 86.8%, 96.6%, 100.0%, 100.0% group postoperative months, respectively. In rates 0.0%, 20.0%, 50.0%, 66.7%, 75.0%, 83.3%; 90.0%, 88.9%, 100.0%. Recovery higher within first 6 months (p=0.005, <0.010, 0.041, 0.016 week, months). There no significant differences between two groups (all p≥0.05).The results earlier technique.