Journal of Academic Research in Medicine
Original Article

Retrospective Analysis of Factors Affecting Continence after Robotic Radical Prostatectomy

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Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, İstanbul, Türkiye

JAREM 2017; 7: 21-25
DOI: 10.5152/jarem.2017.1178
Read: 847 Downloads: 90 Published: 22 July 2019

Abstract

Objective: Objective: In this study, we aimed to evaluate the factors affecting continence in patients who underwent robot-assisted radical prostatectomy for prostate cancer.

 

Methods: Between August 2009 and January 2014, data of 385 patients, who were treated with robot-assisted laparoscopic prostatectomy for prostate cancer at our clinic, was retrospectively analyzed.

 

Results: The continence rate was significantly higher at the 12-month evaluation in patients who preoperatively had an International Index of Erectile Function (IIEF) score of >22 and who were at a low risk according to the D'Amico classification (p<0.05). The continence rate was significantly higher at the 3-month evaluation in patients who underwent interfascial, classical intrafascial, and fascia-sparing intrafascial techniques compared with those who underwent the classical extrafascial technique. The continence rate was significantly higher in patients who underwent a nerve-sparing surgery.

 

Conclusion: We found that for the recovery of early and late continences, the use of classical intrafascial and fascia-sparing intrafascial techniques is important. However, we have determined that being at a low risk according to the D'Amico classification and having a high IIEF score are important for the recovery of late continence.

TURKISH
ISSN2146-6505 EISSN 2147-1894
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