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Technical Innovations to Optimize Early Return of Urinary Continence

  • Usama Khater
  • Sanjay RazdanEmail author
Chapter

Abstract

Post-prostatectomy incontinence (PPI) represents a time-dependent devastating iatrogenic complication after surgery. A 12-month continence rate is reported in 48–91 % after laparoscopic prostatectomy (LP), in 89–97 % after robot-assisted laparoscopic prostatectomy (RALP) and 77.7–93.7 % of cases after open retropubic radical prostatectomy (RRP) [1]. Although the continence rate 1 year after RALP is excellent, achievement of an earlier continence at 3 and 6 months postoperatively is still a challenge. Several surgical techniques to optimize the early return of continence have been described. Most of these techniques emphasize the importance of restoring the normal pelvic anatomy after removal of the prostate.

Keywords

Prostatectomy Robotic Optimizing Continence Urethral length Maximizing 

Supplementary material

Video 5.1

MULP technique for early return of continence (MP4 144756 kb)

Video 5.2

Optimizing continence with MULP and classic Van Velthoven anastomosis (MP4 121208 kb)

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.International Robotic Prostatectomy InstituteUrology Center of Excellence at Jackson South HospitalMiamiUSA

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