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Titolo:
An anterior urethral stitch improves urinary incontinence following radical prostatectomy
Autore:
Sugimura, Y; Hioki, T; Yamada, Y; Fumino, M; Inoue, T;
Indirizzi:
Aichi Canc Ctr, Dept Urol, Chikusa Ku, Aichi 4640021, Japan Aichi Canc Ctr Aichi Japan 4640021 rol, Chikusa Ku, Aichi 4640021, Japan
Titolo Testata:
INTERNATIONAL JOURNAL OF UROLOGY
fascicolo: 4, volume: 8, anno: 2001,
pagine: 153 - 157
SICI:
0919-8172(200104)8:4<153:AAUSIU>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
RETROPUBIC PROSTATECTOMY; CONTINENCE; PRESERVATION; PERINEAL;
Keywords:
anterior urethral stitch; radical prostatectomy; urinary incontinence;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Sugimura, Y Aichi Canc Ctr, Dept Urol, Chikusa Ku, 1-1 Kanokoden, Aichi 4640021, Japan Aichi Canc Ctr 1-1 Kanokoden Aichi Japan 4640021 40021, Japan
Citazione:
Y. Sugimura et al., "An anterior urethral stitch improves urinary incontinence following radical prostatectomy", INT J UROL, 8(4), 2001, pp. 153-157

Abstract

Objective: To determine the effects of an anterior urethral stitch, referred to as an endopelvic anterior urethral stitch (EAUS), in reducing recovery time for post-prostatectomy urinary incontinence. Methods: The urinary continence recovery time for 24 patients, who received a retropubic radical prostatectomy with the EAUS procedure, was compared to that of a historical control series of 22 patients without EAUS. The EAUS is a simple 2-0 polyglactin stitch placed between the bunched dorsal veincomplex and the anterior urethra. This procedure was performed at the timeof urethro-vesical anastomosis. Continence recovery time was defined as the day after removal of the urethral catheter when the patient no longer required pads for incontinence. Results: A significantly shorter time for continence recovery (median 8.5 days) was obtained in EAUS patients compared with that of the control series (median 72 days) (P < 0.0001). Early recovery of continence was observed in 12/24 patients (50%) within 1 week and 18/24 patients (75%) within 1 month in EAUS patients. No adverse effects or complications were observed in the EAUS patients. Conclusion: A surgical procedure, the EAUS, has been developed that reduces urinary incontinence in patients who have undergone a radical prostatectomy. This procedure is simple and quick and improves recovery of continence without any side-effects.

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Documento generato il 10/07/20 alle ore 18:55:36