Literature Review of Factors Affecting Continence After Radical Prostatectomy

Overview

Journal Saudi Med J

Specialty General Medicine

Date 2017 Jan 3

PMID 28042624

Citations 8

Authors

Dalibor Pacik

Michal Fedorko

Affiliations

Soon will be listed here.

Abstract

Radical prostatectomy (RP) is the most common cause of stress urinary incontinence (UI) in men. Several anatomic structures affect or may affect urinary continence - urethral sphincter, levator ani muscle, puboprostatic ligaments, bladder neck, endopelvic fascia, neurovascular bundle - and understanding of the anatomy of pelvic floor and urethra is crucial for satisfactory functional outcome of the procedure. Surgical techniques implemented to improve continence rates include nerve-sparing procedure, bladder neck preservation/plication, urethral length preservation, musculofascial reconstruction, puboprostatic ligaments preservation or seminal vesicle preservation. Perioperative (preoperative and postoperative) pelvic floor muscle training (PFMT) aims to shorten the duration of postoperative UI and thus, improve early continence rates postoperatively. In the review, complex information regarding anatomical, intra- and perioperative factors affecting urinary continence after RP is provided, including description of important anatomical structures, possible implications for surgical technique and evaluation of different PFMT strategies in perioperative period.

Citing Articles

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Sphincter preservation techniques during radical prostatectomies: Lessons learned.

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Physiotherapy as an Effective Method to Support the Treatment of Male Urinary Incontinence: A Systematic Review.

Mazur-Bialy A, Tim S, Kolomanska-Bogucka D, Burzynski B, Jurys T, Plawiak N J Clin Med. 2023; 12(7).

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Effect of puboprostatic ligament preservation during robotic-assisted laparoscopic radical prostatectomy on early continence: Randomized controlled trial.

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