Early Urinary Continence After Radical Prostatectomy: Surgical Procedure and Anatomic Landmarks

Complete Puborectalis, Puboperinealis Muscle and Urethral Rhabdomyosphincter Preservation in Laparoscopic Radical Prostatectomy: Anatomic Landmarks to Achieving Early Urinary Continence

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04043637

Enrollment

120

Registered

2019-08-02

Start date

2012-04-23

Completion date

2019-04-10

Last updated

2019-08-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostatic Cancer, Surgical Procedure, Unspecified, Urinary Incontinence

Brief summary

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.

Detailed description

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.

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

MALE

Age

40 Years to 75 Years

Healthy volunteers

Inclusion criteria

* Age between 40 and 75 years * A Body Mass Index lower than 35 Hg/m2 * Patients with organ-confined prostate cancer * Signed informed consent

Exclusion criteria

* Contraindications for Laparoscopy

Design outcomes

Primary

Measure	Time frame	Description
change in the proportion of patients with of urinary incontinence	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

Secondary

Measure	Time frame	Description
change in the proportion of patients with recovery of the erectile function	every month during the first year after surgery	assessment of the recovery of the erectile function after surgery
number of patients with overall positive surgical margins	immediate postoperative period	postoperative assessment of positive surgical margins
biochemical recurrence rate	until the completion of the study, with a mean follow-up of 72 months	—

Outcome results