Application of proximal urethral preservation and cautery-free technique in robot-assisted radical prostatectomy(with surgical video)
Objective:To evaluate the application value of proximal urethral preservation and cautery-free technique in robot-assisted radical prostatectomy(RARP)on postoperative continence recovery.Methods:A total of 97 patients who underwent RARP in the First Affiliated Hospital of Nanjing Medical University from June to December 2022 were included in this study.Among them,39 patients were assigned to the experimental group and received proximal urethral preservation and cautery-free technique,and 58 patients to the control group underwent RARP without preservation of proximal urethral.All patients were followed up for 6 months.Urinary continence recovery of patients in the two groups was compared.Time to postoperative continence,short-term continence,and pad use per day(PPD)of patients in the two groups were observed.Results:Compared with the control group,the experimental group recovered to continence faster after surgery(P<0.001).The proportion of patients with short-term continence recovery after surgery(<1 month)was significantly higher in the experimental group than that in the control group(P<0.001).The PPD in the experimental group was significantly fewer than that in the control group(P=0.001).Conclusion:The application of cautery-free technique and proximal urethral preservation in RARP showed promising results in terms of postoperative continence recovery and quality of life improvement,which is worthy of clinical promotion.Further studies with larger sample sizes and longer follow-up should be performed to validate these findings to determine the long-term effects of this strategy.
国家科技期刊平台
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