1944 PROSPECTIVE RANDOMIZED TRIAL TO EVALUATE THE INFLUENCE OF THE BLADDER NECK SUSPENSION ON EARLY CONTINENCE AFTER RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologyProstate Cancer: Localized IX1 Apr 20101944 PROSPECTIVE RANDOMIZED TRIAL TO EVALUATE THE INFLUENCE OF THE BLADDER NECK SUSPENSION ON EARLY CONTINENCE AFTER RADICAL PROSTATECTOMY Jens-Uwe Stolzenburg, Panagiotis Kallidonis, Martin Nicolaus, Anja Dietel, Minh Do, Tim Haefner, and Evangelos Liatsikos Jens-Uwe StolzenburgJens-Uwe Stolzenburg Leipzig, Germany More articles by this author , Panagiotis KallidonisPanagiotis Kallidonis Patras, Greece More articles by this author , Martin NicolausMartin Nicolaus Leipzig, Germany More articles by this author , Anja DietelAnja Dietel Leipzig, Germany More articles by this author , Minh DoMinh Do Leipzig, Germany More articles by this author , Tim HaefnerTim Haefner Leipzig, Germany More articles by this author , and Evangelos LiatsikosEvangelos Liatsikos Patras, Greece More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1933AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The aim of this prospective randomized trial was to evaluate the influence of the bladder neck suspension (BNS) on early continence after endoscopic extraperitoneal radical prostatectomy (EERPE). METHODS Totally, 180 patients underwent EERPE. Group 1 included patients that underwent nsEERPE (n=45) while Group 2 included patients that underwent nsEERPE with bladder neck suspension (BNS, n=45). Groups 3 (n=45) and 4 (n=45) included patients that were operated by EERPE and EERPE with BNS, respectively. Random inclusion of patients regarding BNS or not technique was performed. Perioperative parameters were recorded. Continence was evaluated by the measurement of number and weight of pads (pad-test) on the second day after catheter removal (7th postoperative day) as well as at 3 months postoperatively by questionnaire. RESULTS On the second day after catheter removal 11.1% of patients in Group 1 were continent, 11.1% of Group 2, 4.4% of Group 3 and 8.9% of Group 4. Average urine loss was 80.4grs, 70.1grs, 324grs and 291 grs for the above groups respectively. An average number of pads used by the patients of the above groups was 3.53, 3.69, 6.51 and 5.87, respectively. At 3 months, 76.5% of Group 1 while 81.25% in Group 2 was continent. The respective figures for Group 3 and 4 were 48.5% and 43.8% respectively. Similar positive margin rates were observed in all groups. CONCLUSIONS Despite different reports in literature early continence was never observed to be significantly higher in the BNS group in comparison to the non BNS group regardless of the EERPE technique performed. Further clinical evaluation for the introduction of a technique providing early continence after radical prostatectomy is deemed necessary. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e755 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jens-Uwe Stolzenburg Leipzig, Germany More articles by this author Panagiotis Kallidonis Patras, Greece More articles by this author Martin Nicolaus Leipzig, Germany More articles by this author Anja Dietel Leipzig, Germany More articles by this author Minh Do Leipzig, Germany More articles by this author Tim Haefner Leipzig, Germany More articles by this author Evangelos Liatsikos Patras, Greece More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...