Department of Urology, Istanbul Bilim University School of Medicine, Istanbul, Turkey.
J Endourol. 2012 Apr;26(4):381-6. doi: 10.1089/end.2010.0654. Epub 2012 Jan 25.
Urinary incontinence is a significant cause of morbidity after robot-assisted radical prostatectomy (RARP). Several techniques have been developed to improve continence rates. In this study, we compared the continence rates of patients who underwent RARP with total reconstruction and without reconstruction.
Between March 2005 and September 2009, 245 patients underwent RARP at our institution. The initial 120 patients (control group) underwent standard RARP without reconstruction and the last 125 patients (reconstruction group) underwent a total reconstruction technique, which included an anterior and posterior reconstruction. Patients were followed for 1, 4, 12, 24, 36, and 52 weeks after the operation. Continence was defined with strict criteria-no usage of pads and no leakage of urine.
In the reconstruction group, the continence rates at, 1, 4, 12, 24, 36, and 52 weeks postoperatively were 71%, 72%, 80%, 84%, 86%, and 91%, respectively; in the control group, the continence rates were 23%, 49%, 76%, 80%, 85%, and 88%, respectively.
The overall continence rates were similar in both groups at 52 weeks of follow-up. Patients in the total reconstruction group, however, had higher early continence rates compared with patients in the control group. The total reconstruction procedure is an efficient way to achieve an early return to continence.
尿失禁是机器人辅助前列腺根治性切除术（RARP）后发病率的一个重要原因。已经开发了几种技术来提高控尿率。在这项研究中，我们比较了接受 RARP 手术并进行完全重建和不进行重建的患者的控尿率。
2005 年 3 月至 2009 年 9 月，我们机构对 245 例患者进行了 RARP。最初的 120 例患者（对照组）接受了标准的不重建 RARP，最后 125 例患者（重建组）接受了完全重建技术，包括前重建和后重建。术后 1、4、12、24、36 和 52 周对患者进行随访。控尿定义为严格标准-不使用尿垫且无尿液渗漏。
在重建组中，术后 1、4、12、24、36 和 52 周的控尿率分别为 71%、72%、80%、84%、86%和 91%；在对照组中，控尿率分别为 23%、49%、76%、80%、85%和 88%。
在 52 周的随访中，两组的总体控尿率相似。与对照组相比，完全重建组的患者早期控尿率更高。完全重建术是实现早期控尿的有效方法。
