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Vol.60 (2014) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/397

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Title: Current techniques to improve outcomes for early return of urinary continence following robot-assisted radical prostatectomy
Authors: Yanagida, Tomohiko
Koguchi, Tomoyuki
Hata, Junya
Yabe, Michihiro
Sato, Yuichi
Akaihata, Hidenori
Kawashima, Yohei
Kataoka, Masao
Ogawa, Soichiro
Kumagai, Shin
Kumagai, Ken
Haga, Nobuhiro
Kushida, Nobuhiro
Ishibashi, Kei
Aikawa, Ken
Kojima, Yoshiyuki
Affiliation: 泌尿器科学講座
Source title: Fukushima Journal of Medical Science
Volume: 60
Issue: 1
Start page: 1
End page: 13
Issue Date: 8-Aug-2014
Abstract: Although open retropubic radical prostatectomy has been the most commonly used surgical technique for patients with localized prostate cancer for decades, robot-assisted radical prostatectomy (RARP) has recently become an alternative option and widely used in Japan as well as around the world. RARP has been shown to have higher postoperative continent rates than retropubic and laparoscopic radical prostatectomy; however, urinary incontinence has remained one of the most significant causes for concern among patients who seek surgical treatment for prostate cancer, even after the introduction of RARP. The literature has shown that certain technical modifications to improve urinary continence are advocated as potential aids to reduce the risk of urinary incontinence after RARP. These modifications might be divided into 3 categories to realize the improvement of early return of urinary continence after RARP: 1) preservation, 2) reconstruction, and 3) reinforcement of the anatomic structures in the pelvis, which will make a new supporting system after radical prostatectomy. In this review, we discuss the intraoperative techniques to improve outcomes for early return of urinary continence following RARP, and provide a critical summary of current knowledge on its outcome in the literature.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/397
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/397/1/FksmJMedSci_60_p1.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.2013-25
PubMed ID: 25030723
Related Page: http://dx.doi.org/10.5387/fms.2013-25
Rights: © 2014 The Fukushima Society of Medical Science
Appears in Collections:Vol.60 (2014)

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FksmJMedSci_60_p1.pdf4.69 MBAdobe PDFDownload

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