Complete Puborectalis, Puboperinealis Muscle and Urethral Rhabdomyosphincter Preservation in Laparoscopic Radical Prostatectomy: Anatomic Landmarks to Achieving Early Urinary Continence
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 主要终点
- change in the proportion of patients with of urinary incontinence
研究概览
简要总结
This study describes how to perform a correct prostatic apex and membranous urethra in order to preserve all anatomical elements that are necessary to achieve a very fast urinary continence after open/laparoscopic/robotic radical prostatectomy, avoiding positive surgical margins at this level.
详细描述
This study describes a simple technical variation, aimed at the sparing of the muscle systems and neurovascular bundles in order to achieve high rates of urinary continence in the early postoperative period ( the first two months after surgery) in prostate cancer patients undergoing radical prostatectomy.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 40 Years 至 75 Years（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Age between 40 and 75 years
- •A Body Mass Index lower than 35 Hg/m2
- •Patients with organ-confined prostate cancer
- •Signed informed consent
排除标准
- •Contraindications for Laparoscopy
结局指标
主要结局
change in the proportion of patients with of urinary incontinence
时间窗: The follow-up was at 2 weeks, 4 weeks and 8 weeks after removal of the urethral catheter (one week after surgery), and, thereafter, once a month over the first year after surgery
Assessment of the proportion of patients with urinary incontinence after laparoscopic radical prostatectomy
次要结局
- change in the proportion of patients with recovery of the erectile function(every month during the first year after surgery)
- number of patients with overall positive surgical margins(immediate postoperative period)
- biochemical recurrence rate(until the completion of the study, with a mean follow-up of 72 months)