La prostatectomía radical retropúbica: preservación de la continencia urinaria

Abstract

ObjectiveHistorical review of procedures and maneuvers described in the literature to preserve-increase urinary continence after retropubic prostatectomy. Material and methodReview of the original articles on the design of maneuvers for the preservation of urinary continence. ResultsNumerous maneuvers have been described attempting to preserve-increase urinary continence after prostatectomy. They can be grouped into preservation of puboprostatic ligaments, bladder neck, striated sphincter or trigonal innervation, construction of a neourethra, suspension of the anastomosis or the dorsal venous complex and intussusception of the bladder neck. ConclusionThere is no ideal maneuver for preserving-increasing urinary continence after retropubic prostatectomy, as there is no well-conducted work with any of these techniques that confirm their efficacy.