Impact of bladder neck preservation on continence in laparoscopic radical prostatectomy for localized prostate cancer
Objective:To discuss the effects of bladder neck preservation on continence after laparoscopic radi-cal prostatectomy(LRP).Methods:The continence rate between bladder neck preservation group and non-preser-vation group was compared by retrospectively analyzing 160 cases of LRP for localized prostate cancer.Results:There were 72 cases in bladder neck preservation group,and 88 cases in non-preservation group.No statistical significance was identified in operating time(OT),estimated blood loss(EBL),or anastomotic stricture(P＞0.05).No positive margin on bladder neck was noticed pathologically in each case.In intrafascial LRP,continence rate was better in bladder neck preservation group than non-preservation group after one month and three months,but roughly the same after six months.In extrafascial LRP,there was no statistical significance between bladder neck preservation group and non-preservation group regardless of time.Conclusion:The early continence recovery after LRP benefits from bladder neck preservation,which makes sense only in cases of intrafascial LRP.
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