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Urinary Continence and Sexual Function After Robotic Radical Prostatectomy pp 73–82Cite as

Technical Innovations to Optimize Early Return of Urinary Continence

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Abstract

Post-prostatectomy incontinence (PPI) represents a time-dependent devastating iatrogenic complication after surgery. A 12-month continence rate is reported in 48–91 % after laparoscopic prostatectomy (LP), in 89–97 % after robot-assisted laparoscopic prostatectomy (RALP) and 77.7–93.7 % of cases after open retropubic radical prostatectomy (RRP) [1]. Although the continence rate 1 year after RALP is excellent, achievement of an earlier continence at 3 and 6 months postoperatively is still a challenge. Several surgical techniques to optimize the early return of continence have been described. Most of these techniques emphasize the importance of restoring the normal pelvic anatomy after removal of the prostate.

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Author information

Authors and Affiliations

  1. International Robotic Prostatectomy Institute, Urology Center of Excellence at Jackson South Hospital, Deering Medical Plaza, 9380 SW 150th Street, Suite 200, Miami, FL, 33176, USA

    Usama Khater M.D. & Sanjay Razdan M.D., M.Ch.

Authors
  1. Usama Khater M.D.
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  2. Sanjay Razdan M.D., M.Ch.
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Corresponding author

Correspondence to Sanjay Razdan M.D., M.Ch. .

Editor information

Editors and Affiliations

  1. International Robotic Prostatectomy Institute, Urology Center of Excellence at Jackson South Hospital, Miami, Florida, USA

    Sanjay Razdan

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

MULP technique for early return of continence (MP4 144756 kb)

Optimizing continence with MULP and classic Van Velthoven anastomosis (MP4 121208 kb)

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© 2016 Springer International Publishing Switzerland

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Khater, U., Razdan, S. (2016). Technical Innovations to Optimize Early Return of Urinary Continence. In: Razdan, S. (eds) Urinary Continence and Sexual Function After Robotic Radical Prostatectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-39448-0_5

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  • DOI: https://doi.org/10.1007/978-3-319-39448-0_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39446-6

  • Online ISBN: 978-3-319-39448-0

  • eBook Packages: MedicineMedicine (R0)

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