EARLY CONTINENCE RECOVERY IN PATIENTS WITH RADICAL PROSTATECTOMY
- Authors: Perepechay VA1, Dmitriadi SN1, Alekseev BY2
-
Affiliations:
- КБ №1 ФГУ ЮОМЦ ФМБА России
- ГОУ ВПО РУДН
- Issue: Vol 2, No 1 (2011)
- Pages: 35-40
- Section: Articles
- URL: https://journals.rcsi.science/clinpractice/article/view/8193
- DOI: https://doi.org/10.17816/clinpract2135-40
- ID: 8193
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Abstract
From 2008 to July 2010 95 patients underwent radical prostatectomy (RP) – 12 of them – laparoscopic prostatectomy, 83 – retropubic prostatectomy. In 43 patients suspension of urethral anastomosis was not performed. 11 patients underwent the Noguchi's front suspension (11,6%), 22 patients – Tewari's complete reconstruction of the fascial structures (23,1%) and 19 – complete reconstruction of the fascial structures with a modified technique of the rear suspension with a deficit of length of aponeurosis Denonvile (20%). Monitoring of continence was conducted on the third day of the removal of the catheter, in 1 month, 3 months, 6 months and 1 year. 74.7% of patients evaluated in a period of 6 months and only 54,7% of patients – in a year after surgery. On third day of removal of the catheter continence in a group without complete suspension was 20,9%, with front suspension – 27,3% in the group with Tewari's reconstruction – 49,9%, with Denonvile suspension – 36,8% respectively. 1month continence was 36,6%, 54,5%, 76,2% 78,9% respectively. Through threemonth observation full time continence was achieved in 63,8%, 60%, 85,7% and 73,3% respectively. Through 6 months and 12 months observation there was no significant difference in continence in all groups.
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##article.viewOnOriginalSite##About the authors
V A Perepechay
КБ №1 ФГУ ЮОМЦ ФМБА России
Email: perepechay_va@mail.ru
S N Dmitriadi
КБ №1 ФГУ ЮОМЦ ФМБА России
Email: dimitriadi@yandex.ru
B Y Alekseev
ГОУ ВПО РУДН
Email: byalekseev@mail.ru
ведущий н.с. отделения онкоурологии ФГУ Московский научно-исследовательский онкологический институт им. П.А. Герцена, зав. курсом онкоурологии кафедры урологии ГОУ ВПО РУДН, д.м.н., профессор.
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