Effect of bladder neck preservation on early urinary control recovery after robot-assisted laparoscopic radical prostatectomy
Objective To explore the effectiveness of bladder neck preservation technique in robot-assisted laparoscopic radical prostatectomy(RALP)for early postoperative urinary control recovery.Methods The clinical data of 53 patients who underwent robot-assisted radical prostatectomy in China-Japan Union Hospital of Jilin University from May 2020 to August 2022 were analyzed retrospectively.Among them,31 patients with bladder neck preservation were as the study group,and 22 patients without bladder neck preservation were as the control group.The patient's age,prostate volume,preoperative PSA,operation time,bleeding volume,positive margin rate,drainage tube removal time,time of indwelling urinary catheter,postoperative pathological stage,Gleason score,postoperative complications,postoperative urinary pad usage,and other data were collected and statistically analyzed.Results After nonparametric rank sum test,there was statistically significant difference in the use of urinary pads between the study group and the control group immediately after surgery,at 1 month after surgery,2 months after surgery,and 3 months after surgery(P＜0.05).There was no statistically significant difference in the use of urinary pads at 6 months after surgery(P=0.090).Conclusion On the premise of not affecting the tumor margin and surgical efficacy,bladder neck preservation during robot-assisted radical prostatectomy can improve the immediate urinary control rate and early urinary control rate after surgery,and improve the quality of life of patients.
prostate cancerradical prostatectomybladder neck preservationearly urinary control
万方数据
维普
