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.

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