Technical innovations to optimize continence recovery after robotic assisted radical prostatectomy

Fabio Zattoni, Walter Artibani, Vipul Patel, Francesco Montorsi, Francesco Porpiglia, Lance J. Hampton, Bernardo Rocco, Prokar Dasgupta, Ashok K. Hemal, Alexandre Mottrie, Ash Tewari, Fabrizio Dalmoro*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

18 Citations (Scopus)

Abstract

Urinary incontinence is one of the most significant causes of concern among patients who get surgical treatment for prostate cancer, even after the introduction of the robot. The aim of this study is to summarize current knowledge of the factors influencing urinary continence (UC) and the technical innovations to optimize UC recovery after robotic assisted radical prostatectomy (RARP). A non-systematic review was conducted from January 2000 to October 2018 to identify original and review articles in English describing the anatomy of the prostate and pelvis. An emphasis was addressed to article describing technical innovations to optimize UC after RAR P. I mproved knowledge of the normal structure in the pelvis should lead to a greater understanding of the pathophysiology of urinary incontinence, and further development of intraoperative techniques to improve the outcomes of UC. The literature has shown certain technique modification to meliorate UC as potential benefit to reduce the risk of urinary incontinence after RARP. These techniques might be divided in 3 categories to improve an early return to UC: 1) preservation, 2) reconstruction and 3) reinforcement of the anatomic structures in the pelvis, which will make new supporting system after RAR P. In the present review, the authors summarize factors influencing incontinence after RARP and outline a common denominator for all the surgical techniques described in the literature for UC recovery.

Original languageEnglish
Pages (from-to)324-338
Number of pages15
JournalMinerva Urologica E Nefrologica
Volume71
Issue number4
DOIs
Publication statusPublished - 1 Jan 2019

Keywords

  • Anatomy
  • Imaging, three-dimensional
  • Prostatectomy
  • Prostatic neoplasms
  • Robotic surgical procedures
  • Urinary continence

Fingerprint

Dive into the research topics of 'Technical innovations to optimize continence recovery after robotic assisted radical prostatectomy'. Together they form a unique fingerprint.

Cite this