Di Mauro Ernesto, La Rocca Roberto, Di Bello Francesco, Amicuzi Ugo, Reccia Pasquale, De Luca Luigi, Calace Francesco Paolo, Olivetta Michelangelo, Mattiello Gennaro, Saldutto Pietro, Russo Pierluigi, Romano Lorenzo, Spirito Lorenzo, Sciorio Carmine, Barone Biagio, Crocetto Felice, Mastrangelo Francesco, Celentano Giuseppe, Tufano Antonio, Napolitano Luigi, Altieri Vincenzo Maria
Department of Neuroscience, Reproductive and Odontostomatological Sciences, University of Naples "Federico II", Via Pansini, 80138 Naples, Italy.
Urology Unit, AORN Ospedali dei Colli, Monaldi Hospital, 80131 Naples, Italy.
Life (Basel). 2025 Mar 7;15(3):415. doi: 10.3390/life15030415.
Prostate cancer presents a substantial challenge, necessitating a delicate balance between effective treatment and preserving the overall quality of life for men, while robot-assisted radical prostatectomy (RARP) stands as the premier surgical approach, with a negligible rate of patients who remained incontinent. This review explores various technical modifications employed in RARP to improve early continence recovery, offering a summary of their implementation and potential benefits. Techniques like bladder neck preservation, subapical urethral dissection, and nerve-sparing approaches are critically discussed, highlighting their role in minimizing continence issues and ensuring a better post-operative experience for patients with prostate cancer.
前列腺癌带来了巨大挑战，需要在有效治疗与维护男性整体生活质量之间达成微妙平衡，而机器人辅助根治性前列腺切除术（RARP）是首要的手术方法，尿失禁患者比例微乎其微。本综述探讨了RARP中采用的各种技术改进措施，以促进早期控尿恢复，并总结了其实施情况和潜在益处。对膀胱颈保留、尿道尖部下解剖以及保留神经等方法进行了批判性讨论，强调了它们在减少控尿问题以及确保前列腺癌患者获得更好术后体验方面的作用。
