Email this article A NEW METHOD OF BLADDER NECK RECONSTRUCTION DURING THE RADICAL PROSTATECTOMY IN PATIENTS WITH LOCALIZED PROSTATE CANCER
- Authors: Tolkach Y.V.1, S.B. Petrov S.B.2, Schelin S.3, Rezvancev M.V.4
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Affiliations:
- Department of Urology, S.M. Kirov Military Medical Academy, Saint Petersburg
- A.M. Nikiforov Department of Urology, All-Russian Center of Emergency and Radiation Medicine, Emergency Ministry of Russia
- Section of Urology, Department of Surgery, Kalmar Country Hospital, Kalmar, Sweden
- Department of Medical Service Control Automation (with Military Medical Statistics), S.M. Kirov Military Medical Academy, Saint Petersburg
- Issue: Vol 7, No 3 (2011)
- Pages: 99-106
- Section: PROSTATE CANCER
- Published: 30.09.2011
- URL: https://oncourology.abvpress.ru/oncur/article/view/243
- DOI: https://doi.org/10.17650/1726-9776-2011-7-3-99-106
- ID: 243
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Abstract
Radical prostatectomy is a «gold standard» for treatment of the patients with a localized prostate cancer. Urinary incontinence is one of the two most common complications of this operation. In this article we report a study aimed to compare the efficacy parameters linked to postoperative continence in 39 patients with new technique for reconstruction of the bladder neck during the radical prostatectomy using a deep suture of the bladder wall dorsally to the neck aperture with 45 patients in control group with a standard type of reconstruction in the form of tennis racket. According to the results, application of the new technique leads to a significant improvement in continence during the first 6 months after the operation with no difference among groups during follow-up later on. Given the results of the anatomical study, the efficacy of the new method of reconstruction is linked to passive closure mechanism created in the area of the bladder neck.
About the authors
Yu. V. Tolkach
Department of Urology, S.M. Kirov Military Medical Academy, Saint Petersburg
Author for correspondence.
Email: yuri.tolkach@gmail.com
Russian Federation
S. B. S.B. Petrov
A.M. Nikiforov Department of Urology, All-Russian Center of Emergency and Radiation Medicine, Emergency Ministry of Russia
Email: yuri.tolkach@gmail.com
Russian Federation
S. Schelin
Section of Urology, Department of Surgery, Kalmar Country Hospital, Kalmar, Sweden
Email: yuri.tolkach@gmail.com
Sweden
M. V. Rezvancev
Department of Medical Service Control Automation (with Military Medical Statistics), S.M. Kirov Military Medical Academy, Saint Petersburg
Email: yuri.tolkach@gmail.com
Russian Federation
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