Results of a Continent of Urine After an Open Retropubic Prostatectomy with Preservation of the Puboprostatic Ligament

Abstract

Open retropubic prostatectomy is one of the most common operations used to treat clinically localized prostate cancer (PCa). Today, there is a limited amount of evidence of the successful use of some modern surgical modifications.The objective: to analyze the functional results of applying the technique of preservation of the prostoprostatic ligament in a group of patients with localized prostate cancer.Materials and methods. A clinical retrospective study was carried out over a 3-year period at the Urology Clinic of theScientificCenter for the Management of Human Migration. The study included men with clinically localized prostate cancer who agreed to undergo surgical treatment. Patients with locally advanced forms of prostate cancer and those with severe concomitant pathology were excluded from the study. Data analysis was performed using SPSS software (version 17).Results. In total, from September 2014 to September 2017, 72 patients underwent open-ended radial prostatectomy with preservation of the puboprostatic ligament. The average age of the patients was 67 years (ranged from 55 to 76 years). In 6 patients, stress incontinence was detected, in 8 patients, post-prostatectomy incontinence was detected for 3 months. So, 58 (out of 72) patients out of 72 for 3 months were continental.Conclusion. Preservation of puboprostatic ligaments when performing an open-ended posterior prostatectomy is associated with faster and more frequent renewal of the urine continent in patients with clinically localized prostate cancer.