Two-layer posterior reconstruction of the vesicourethral anastomosis during robotic-assisted radical prostatectomy


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Aim. To study the influence of the technique of posterior reconstruction of the vesicourethral anastomosis (VUA) on the prevention of urinary incontinence after robotic-assisted radical prostatectomy (RARP). Material and methods. A total of 67 patients (mean age 63 years) with localized prostate cancer were included in the study. All patients were divided into two groups. In the group 1 (n=32) the standard technique of the VUA was used, while in the group 2 (n=35) the two-layer posterior reconstruction was done. The impact of urinary incontinence on the quality of life was analyzed using the ICIQ-SF questionnaire 1, 3 and 6 months after operation. On postoperative days 5-7, all patients underwent cystography to assess the tightness of the VUA. Results. One month after RARP in the group 1 the mean score of ICIQ-SF questionnaire was 6.72, compared to 4.57 in group 2 (p=0.04). After 3 and 6 months the respective values were 3.8 vs. 2.3 (p=0.09) and 1.94 vs. 1.2 (p=0.23), respectively. Cystography revealed no extravasation of the contrast. Conclusion. The results of a retrospective comparative study suggest that a two-layer posterior reconstruction of the VUA during RARP, being a simple method, provides better continence rate one month postoperatively compared to standard technique, although larger randomized clinical trials are needed.

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作者简介

M. Kodzokov

I.M. Sechenov First Moscow State Medical University

Email: kodzokov-m@mail.ru
3-year Ph.D. student, Institute for Urology and Human Reproductive Health

E. Spot

I.M. Sechenov First Moscow State Medical University

Email: shpot@inbox.ru
professor, Head of the Department of Oncourology, Institute for Urology and Human Reproductive Health

A. Proskura

I.M. Sechenov First Moscow State Medical University

Email: proskura777@yandex.ru
physician of the Department of Oncourology, Institute for Urology and Human Reproductive Health

E. Gazimiev

I.M. Sechenov First Moscow State Medical University

6-year student

A. Damiev

I.M. Sechenov First Moscow State Medical University

Email: damievakhmed@mail.ru

M. Gazimiev

I.M. Sechenov First Moscow State Medical University

Email: gazimiev@yandex.ru
Ph.D., MD, professor, Deputy Director on Science of the Institute for Urology and Human Reproductive Health; Director of National Medical Research Center of Urology

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