urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2024-12-3-114-124urovest-889Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESУдержание мочи после экстраперитонеальной радикальной простатэктомии: роль хирургической техники и реконструкции фасциальных пространств тазаUrinary continence following extraperitoneal radical prostatectomy: impact of surgical technique and pelvic fascial spaces reconstructionhttps://orcid.org/0000-0003-2765-7910ЧибичянМ. Б.ChibichyanM. B.

Микаел Бедросович Чибичян — д-р мед. наук, доцент

Ростов-на-Дону

Mikael B. Chibichyan — M.D., Dr.Sc.(Med), Assoc.Prof.(Docent)

Rostov-on-Don

michel_dept@mail.ruhttps://orcid.org/0000-0002-1710-0169КоганМ. И.KoganM. I.

Михаил Иосифович Коган — д-р мед. наук, профессор, заслуженный деятель науки РФ

Ростов-на-Дону

Mikhail I. Kogan — M.D., Dr.Sc.(Med), Full Prof., Honored Scientist of the Russian Federation

Rostov-on-Don

dept_kogan@mail.ruhttps://orcid.org/0000-0003-0674-9429БелоусовИ. И.BelousovI. I.

Игорь Иванович Белоусов — д-р мед. наук, доцент

Ростов-на-Дону

lgor I. Belousov — M.D., Dr.Sc.(Med), Assoc.Prof.(Docent)

Rostov-on-Don

belrost_dept@mail.ruhttps://orcid.org/0000-0002-9627-2582СизякинД. В.SizyakinD. V.

Дмитрий Владимирович Сизякин — д-р мед. наук, профессор

Ростов-на-Дону

Dmitry V. Sizyakin — M.D., Dr.Sc. (Med), Full Prof.

Rostov-on-Don

dsiziakin@mail.ruhttps://orcid.org/0000-0001-7748-0039АветянА. В.AvetyanA. V.

Андрей Владимирович Аветян

Ростов-на-Дону

Andrey V. Avetyan — M.D.

Rostov-on-Don

arsenalfvo@yandex.ruhttps://orcid.org/0000-0002-9191-980XТрусовП. В.TrusovP. V.

Пётр Владимирович Трусов — канд. мед. наук

Ростов-на-Дону

Petr V. Trusov — M.D., Cand.Sc.(Med)

Rostov-on-Don

rosturology@rambler.ruhttps://orcid.org/0000-0003-2495-5760ШкодкинС. В.ShkodkinS. V.

Сергей Валентинович Шкодкин — д-р мед. наук, доцент

Белгород

Sergey V. Shkodkin — M.D.,  Dr.Sc.(Med), Assoc.Prof.(Docent)

Belgorod

shkodkin-s@mail.ruhttps://orcid.org/0009-0003-0103-0412ПчелкинА. С.PchelkinA. S.

Артём Сергеевич Пчелкин

Ростов-на-Дону

Artem S. Pchelkin

Rostov-on-Don

pchelkin131@mail.ruРостовский государственный медицинский университетРоссияRostov State Medical UniversityRussian FederationРостовский государственный медицинский университет ; Федеральный исследовательский центр Южный научный центр Российской академии наукРоссияRostov State Medical University; Federal Research Centre the Southern Scientific Centre of the Russian Academy of SciencesRussian FederationРостовский государственный медицинский университет; Областной консультативно-диагностический центрРоссияRostov State Medical University; Rostov Regional Advisory and Diagnostics CentreRussian FederationОбластной консультативно-диагностический центрРоссияRostov Regional Advisory and Diagnostics CentreRussian FederationБелгородский государственный национальный исследовательский университетРоссияBelgorod State National Research UniversityRussian Federation202408072024123114124Copyright © Чибичян М.Б., Коган М.И., Белоусов И.И., Сизякин Д.В., Аветян А.В., Трусов П.В., Шкодкин С.В., Пчелкин А.С., 20242024Чибичян М.Б., Коган М.И., Белоусов И.И., Сизякин Д.В., Аветян А.В., Трусов П.В., Шкодкин С.В., Пчелкин А.С.Chibichyan M.B., Kogan M.I., Belousov I.I., Sizyakin D.V., Avetyan A.V., Trusov P.V., Shkodkin S.V., Pchelkin A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/889Введение

Введение. Недержание мочи является частым осложнением радикальной простатэктомии. Разработка хирургических приёмов при выполнении радикальной простатэктомии, улучшающих функцию удержания мочи после операции является актуальным направлением исследований.

Цель исследования

Цель исследования. Сравнить функцию удержания мочи в долгосрочном наблюдении после открытой и лапароскопической радикальной простатэктомии, выполненной с использованием только задней или сочетанной (передняя + задняя) реконструкций фасциальных пространств таза.

Материалы и методы

Материалы и методы. В исследование вошли 130 пациентов в возрасте 63,0 [59,0; 68,0] лет с локальным раком предстательной железы (сT1a-2сN0-xM0; 1 – 4 группы ISUP), подвергнутых ненервсберегающей позадилонной радикальной простатэктомии с задней реконструкцией и ненервсберегающей экстраперитонеальной лапароскопической радикальной простатэктомии с изолированно задней или сочетанной (передняя + задняя) реконструкциями фасциальных пространств таза. Послеоперационную функцию удержания мочи изучали в 1-й, 3-й, 6-й и 12-й месяцы после операции посредством стандартного теста с прокладками.

Результаты

Результаты. Частота удержания мочи была выше во все сроки наблюдения при лапароскопической хирургии. Начиная с 6 месяца наблюдения эти пациенты не имели тяжёлого недержания мочи. В то же время скорость прироста части пациентов, начавших удерживать мочу, не зависела от способа реконструкции фасциальных пространств таза. Применение сочетанной реконструкции фасциальных пространств таза к 12 месяцам наблюдения показало преимущество в удержании мочи перед выполнением только задней реконструкции. Такие пациенты достигли удержания мочи в 90% случаев против 80,0% в сравнении. При этом восстановление удержания мочи на всех сроках наблюдения имело относительно равномерную линейную скорость прироста показателя.

Заключение

Заключение. Реконструкция фасциальных пространств таза при открытой и лапароскопической радикальной простатэктомии позволяет достичь удовлетворительной континенции в послеоперационном периоде. При этом более высокая результативность достигается при применении сочетанной техники реконструкции.

Introduction

Introduction. Urinary incontinence is a common complication of radical prostatectomy. The development of surgical techniques when performing radical prostatectomy that improve the function of urinary continence after surgery is actual.

Objective

Objective. To compare urinary continence functions in long-term follow-up after open and laparoscopic radical prostatectomy when only posterior or combined (anterior + posterior) reconstruction of the pelvic fascial spaces is performed.

Materials & methods

Materials & methods. The study included 130 patients aged 63.0 [59.0; 68.0] years with local prostate cancer (сT1a-2сN0-xM0; 1 – 4 ISUP groups), subjected to non-nerve-sparing retropubic radical prostatectomy with posterior reconstruction and non-nerve-sparing extraperitoneal laparoscopic radical prostatectomy with isolated posterior or combined (anterior + posterior) fascial reconstruction of the pelvic fascial spaces. Postoperative continence function was studied at 1, 3, 6, and 12 months following surgery using a standard pad test.

Results

Results. The incidence of urinary continence was higher at all follow-up periods during laparoscopic surgery. From the 6-months follow-up, these patients did not have severe urinary incontinence. At the same time, the rate of growth of some patients who began to retain urine did not depend on the method of reconstruction of the pelvic fascial spaces. The use of combined reconstruction of the pelvic fascial spaces at 12-months follow-up showed an advantage in urinary continence over performing only posterior reconstruction. Such patients achieved urinary continence in 90% of cases compared to 80.0% of cases. At the same time, the restoration of urinary continence at all periods of observation had a relatively uniform linear rate of increase in the indicator.

Conclusion

Conclusion. Reconstruction of the pelvic fascial spaces during open and laparoscopic radical prostatectomy allows one to achieve satisfactory continuation in the postoperative period. However, higher efficiency is achieved when using a combined reconstruction technique.

рак простатырадикальная простатэктомиянедержание мочисимптомы нижних мочевых путейprostate cancerradical prostatectomyurinary incontinencelower urinary tract symptomsПубликация подготовлена в рамках реализации Государственного задания ЮНЦ РАН, № госрегистрации 122020100304-5The publication was prepared as part of the State assignment of the Federal Research Center the Southern Scientific Centre of the Russian Academy of Sciences (State Registration No. 122020100304-5)ReferencesЧибичян М.Б. Открытая позадилонная радикальная простатэктомия. Вестник урологии. 2018;6(1):81-93. DOI: 10.21886/2308-6424-2018-6-1-81-93Chibichyan M.B. Open radical retropubic prostatectomy. Urology Herald. 2018;6(1):81-93. (In Russian). DOI: 10.21886/2308-6424-2018-6-1-81-93EAU guidelines on prostate cancer. (Accessed on 10.02.2024) URL: https://uroweb.org/guidelines/prostate-cancer/chapter/treatmentEAU guidelines on prostate cancer. (Accessed on 10.02.2024) URL: https://uroweb.org/guidelines/prostate-cancer/chapter/treatmentЧибичян М.Б., Коган М.И., Лаптева Т.О., Белоусов И.И., Иванов А.Г., Черногубова Е.А. Перипростатическое воспаление как фактор риска развития стеноза везико-уретрального анастомоза после радикальной простатэктомии. Урология. 2015;6:52-57. eLIBRARY ID: 25133511; EDN: VDZXMZChibichyan M.B., Kogan M.I., Lapteva T.O., Belousov I.I., Ivanov A.G., Chernogubova E.A. Periprostatic inflammation as a risk factor for the development of vesico-urethral stenosis after radical prostatectomy. Urologiia. 2015;6:52-57. (In Russian). eLIBRARY ID: 25133511; EDN: VDZXMZGroutz A, Blaivas JG, Chaikin DC, Weiss JP, Verhaaren M. The pathophysiology of post-radical prostatectomy incontinence: a clinical and video urodynamic study. J Urol. 2000;163(6):1767-1770. PMID: 10799178Groutz A, Blaivas JG, Chaikin DC, Weiss JP, Verhaaren M. The pathophysiology of post-radical prostatectomy incontinence: a clinical and video urodynamic study. J Urol. 2000;163(6):1767-1770. PMID: 10799178Kielb SJ, Clemens JQ. Comprehensive urodynamics evaluation of 146 men with incontinence after radical prostatectomy. Urology. 2005;66(2):392-396. DOI: 10.1016/j.urology.2005.03.026Kielb SJ, Clemens JQ. Comprehensive urodynamics evaluation of 146 men with incontinence after radical prostatectomy. Urology. 2005;66(2):392-396. DOI: 10.1016/j.urology.2005.03.026Sandhu JS, Breyer B, Comiter C, Eastham JA, Gomez C, Kirages DJ, Kittle C, Lucioni A, Nitti VW, Stoffel JT, Westney OL, Murad MH, McCammon K. Incontinence after Prostate Treatment: AUA/SUFU Guideline. J Urol. 2019;202(2):369-378. DOI: 10.1097/JU.0000000000000314Sandhu JS, Breyer B, Comiter C, Eastham JA, Gomez C, Kirages DJ, Kittle C, Lucioni A, Nitti VW, Stoffel JT, Westney OL, Murad MH, McCammon K. Incontinence after Prostate Treatment: AUA/SUFU Guideline. J Urol. 2019;202(2):369-378. DOI: 10.1097/JU.0000000000000314Chao R, Mayo ME. Incontinence after radical prostatectomy: detrusor or sphincter causes. J Urol. 1995;154(1):16-8. DOI: 10.1016/s0022-5347(01)67212-4Chao R, Mayo ME. Incontinence after radical prostatectomy: detrusor or sphincter causes. J Urol. 1995;154(1):16-8. DOI: 10.1016/s0022-5347(01)67212-4van der Poel HG, de Blok W, Joshi N, van Muilekom E. Preservation of lateral prostatic fascia is associated with urine continence after robotic-assisted prostatectomy. Eur Urol. 2009;55(4):892-900. DOI: 10.1016/j.eururo.2009.01.021van der Poel HG, de Blok W, Joshi N, van Muilekom E. Preservation of lateral prostatic fascia is associated with urine continence after robotic-assisted prostatectomy. Eur Urol. 2009;55(4):892-900. DOI: 10.1016/j.eururo.2009.01.021Menon M, Shrivastava A, Kaul S, Badani KK, Fumo M, Bhandari M, Peabody JO. Vattikuti Institute prostatectomy: contemporary technique and analysis of results. Eur Urol. 2007;51(3):648-657; discussion 657-658. DOI: 10.1016/j.eururo.2006.10.055Menon M, Shrivastava A, Kaul S, Badani KK, Fumo M, Bhandari M, Peabody JO. Vattikuti Institute prostatectomy: contemporary technique and analysis of results. Eur Urol. 2007;51(3):648-657; discussion 657-658. DOI: 10.1016/j.eururo.2006.10.055Ficarra V, Novara G, Artibani W, Cestari A, Galfano A, Graefen M, Guazzoni G, Guillonneau B, Menon M, Montorsi F, Patel V, Rassweiler J, Van Poppel H. Retropubic, laparoscopic, and robot-assisted radical prostatectomy: a systematic review and cumulative analysis of comparative studies. Eur Urol. 2009;55(5):1037-1063. DOI: 10.1016/j.eururo.2009.01.036Ficarra V, Novara G, Artibani W, Cestari A, Galfano A, Graefen M, Guazzoni G, Guillonneau B, Menon M, Montorsi F, Patel V, Rassweiler J, Van Poppel H. Retropubic, laparoscopic, and robot-assisted radical prostatectomy: a systematic review and cumulative analysis of comparative studies. Eur Urol. 2009;55(5):1037-1063. DOI: 10.1016/j.eururo.2009.01.036Sanda MG, Dunn RL, Michalski J, Sandler HM, Northouse L, Hembroff L, Lin X, Greenfield TK, Litwin MS, Saigal CS, Mahadevan A, Klein E, Kibel A, Pisters LL, Kuban D, Kaplan I, Wood D, Ciezki J, Shah N, Wei JT. Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med. 2008;358(12):1250-1261. DOI: 10.1056/NEJMoa074311Sanda MG, Dunn RL, Michalski J, Sandler HM, Northouse L, Hembroff L, Lin X, Greenfield TK, Litwin MS, Saigal CS, Mahadevan A, Klein E, Kibel A, Pisters LL, Kuban D, Kaplan I, Wood D, Ciezki J, Shah N, Wei JT. Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med. 2008;358(12):1250-1261. DOI: 10.1056/NEJMoa074311Mungovan SF, Sandhu JS, Akin O, Smart NA, Graham PL, Patel MI. Preoperative Membranous Urethral Length Measurement and Continence Recovery Following Radical Prostatectomy: A Systematic Review and Meta-analysis. Eur Urol. 2017;71(3):368-378. DOI: 10.1016/j.eururo.2016.06.023Mungovan SF, Sandhu JS, Akin O, Smart NA, Graham PL, Patel MI. Preoperative Membranous Urethral Length Measurement and Continence Recovery Following Radical Prostatectomy: A Systematic Review and Meta-analysis. Eur Urol. 2017;71(3):368-378. DOI: 10.1016/j.eururo.2016.06.023Hoshi A, Usui Y, Shimizu Y, Tomonaga T, Kawakami M, Nakajima N, Hanai K, Nomoto T, Terachi T. Dorsal vein complex preserving technique for intrafascial nerve-sparing laparoscopic radical prostatectomy. Int J Urol. 2013;20(5):493-500. DOI: 10.1111/j.1442-2042.2012.03181.xHoshi A, Usui Y, Shimizu Y, Tomonaga T, Kawakami M, Nakajima N, Hanai K, Nomoto T, Terachi T. Dorsal vein complex preserving technique for intrafascial nerve-sparing laparoscopic radical prostatectomy. Int J Urol. 2013;20(5):493-500. DOI: 10.1111/j.1442-2042.2012.03181.xStolzenburg JU, Rabenalt R, Do M, Schwalenberg T, Winkler M, Dietel A, Liatsikos E. Intrafascial nerve-sparing endoscopic extraperitoneal radical prostatectomy. Eur Urol. 2008;53(5):931-940. DOI: 10.1016/j.eururo.2007.11.047Stolzenburg JU, Rabenalt R, Do M, Schwalenberg T, Winkler M, Dietel A, Liatsikos E. Intrafascial nerve-sparing endoscopic extraperitoneal radical prostatectomy. Eur Urol. 2008;53(5):931-940. DOI: 10.1016/j.eururo.2007.11.047Stolzenburg JU, Liatsikos EN, Rabenalt R, Do M, Sakelaropoulos G, Horn LC, Truss MC. Nerve sparing endoscopic extraperitoneal radical prostatectomy--effect of puboprostatic ligament preservation on early continence and positive margins. Eur Urol. 2006;49(1):103-111; discussion 111-112. DOI: 10.1016/j.eururo.2005.10.002Stolzenburg JU, Liatsikos EN, Rabenalt R, Do M, Sakelaropoulos G, Horn LC, Truss MC. Nerve sparing endoscopic extraperitoneal radical prostatectomy--effect of puboprostatic ligament preservation on early continence and positive margins. Eur Urol. 2006;49(1):103-111; discussion 111-112. DOI: 10.1016/j.eururo.2005.10.002Patel VR, Coelho RF, Palmer KJ, Rocco B. Periurethral suspension stitch during robot-assisted laparoscopic radical prostatectomy: description of the technique and continence outcomes. Eur Urol. 2009;56(3):472-478. DOI: 10.1016/j.eururo.2009.06.007Patel VR, Coelho RF, Palmer KJ, Rocco B. Periurethral suspension stitch during robot-assisted laparoscopic radical prostatectomy: description of the technique and continence outcomes. Eur Urol. 2009;56(3):472-478. DOI: 10.1016/j.eururo.2009.06.007Nguyen MM, Kamoi K, Stein RJ, Aron M, Hafron JM, Turna B, Myers RP, Gill IS. Early continence outcomes of posterior musculofascial plate reconstruction during robotic and laparoscopic prostatectomy. BJU Int. 2008;101(9):1135-1139. DOI: 10.1111/j.1464-410X.2007.07425.xNguyen MM, Kamoi K, Stein RJ, Aron M, Hafron JM, Turna B, Myers RP, Gill IS. Early continence outcomes of posterior musculofascial plate reconstruction during robotic and laparoscopic prostatectomy. BJU Int. 2008;101(9):1135-1139. DOI: 10.1111/j.1464-410X.2007.07425.xTewari A, Jhaveri J, Rao S, Yadav R, Bartsch G, Te A, Ioffe E, Pineda M, Mudaliar S, Nguyen L, Libertino J, Vaughan D. Total reconstruction of the vesico-urethral junction. BJU Int. 2008;101(7):871-877. DOI: 10.1111/j.1464-410X.2008.07424.xTewari A, Jhaveri J, Rao S, Yadav R, Bartsch G, Te A, Ioffe E, Pineda M, Mudaliar S, Nguyen L, Libertino J, Vaughan D. Total reconstruction of the vesico-urethral junction. BJU Int. 2008;101(7):871-877. DOI: 10.1111/j.1464-410X.2008.07424.xПатент № 2809655 C1 Российская Федерация, МПК A61B 17/00. . Аветян А.В., Чибичян М.Б., Белоусов И.И., Шевченко А.Н., Трусов П.В. Способ профилактики недержания мочи после радикальной простатэктомии : № 2023115805 : заявл. 15.06.2023 : опубл. 14.12.2023. Ссылка активна на 16.01.2024 URL: https://www.elibrary.ru/download/elibrary_59918491_64251534.PDFPatent № 2809655 C1 Rossijskaja Federacija, MPK A61B 17/00. . Avetjan A.V., Chibichjan M.B., Belousov I.I., Shevchenko A.N., Trusov P.V. Sposob profilaktiki nederzhanija mochi posle radikal'noj prostatjektomii : № 2023115805 : zajavl. 15.06.2023 : opubl. 14.12.2023. (In Russian). Accessed on 16.01.2024 URL: https://www.elibrary.ru/download/elibrary_59918491_64251534.PDFLepor H, Kaci L, Xue X. Continence following radical retropubic prostatectomy using self-reporting instruments. J Urol. 2004;171(3):1212-1215. DOI: 10.1097/01.ju.0000110631.81774.9cLepor H, Kaci L, Xue X. Continence following radical retropubic prostatectomy using self-reporting instruments. J Urol. 2004;171(3):1212-1215. DOI: 10.1097/01.ju.0000110631.81774.9cMacDiarmid SA. Incontinence after radical prostatectomy: pathophysiology and management. Curr Urol Rep. 2001;2(3):209-213. DOI: 10.1007/s11934-001-0080-2MacDiarmid SA. Incontinence after radical prostatectomy: pathophysiology and management. Curr Urol Rep. 2001;2(3):209-213. DOI: 10.1007/s11934-001-0080-2Walsh PC, Partin AW, Epstein JI. Cancer control and quality of life following anatomical radical retropubic prostatectomy: results at 10 years. J Urol. 1994;152(5 Pt 2):1831-1836. DOI: 10.1016/s0022-5347(17)32396-0Walsh PC, Partin AW, Epstein JI. Cancer control and quality of life following anatomical radical retropubic prostatectomy: results at 10 years. J Urol. 1994;152(5 Pt 2):1831-1836. DOI: 10.1016/s0022-5347(17)32396-0Ficarra V, Novara G, Rosen RC, Artibani W, Carroll PR, Costello A, Menon M, Montorsi F, Patel VR, Stolzenburg JU, Van der Poel H, Wilson TG, Zattoni F, Mottrie A. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy. Eur Urol. 2012;62(3):405-417. DOI: 10.1016/j.eururo.2012.05.045Ficarra V, Novara G, Rosen RC, Artibani W, Carroll PR, Costello A, Menon M, Montorsi F, Patel VR, Stolzenburg JU, Van der Poel H, Wilson TG, Zattoni F, Mottrie A. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy. Eur Urol. 2012;62(3):405-417. DOI: 10.1016/j.eururo.2012.05.045Pacik D, Fedorko M. Literature review of factors affecting continence after radical prostatectomy. Saudi Med J. 2017;38(1):9-17. DOI: 10.15537/smj.2017.1.15293Pacik D, Fedorko M. Literature review of factors affecting continence after radical prostatectomy. Saudi Med J. 2017;38(1):9-17. DOI: 10.15537/smj.2017.1.15293Wei Y, Wu YP, Lin MY, Chen SH, Lin YZ, Li XD, Zheng QS, Xue XY, Xu N. Impact of Obesity on Long-Term Urinary Incontinence after Radical Prostatectomy: A Meta-Analysis. Biomed Res Int. 2018;2018:8279523. DOI: 10.1155/2018/8279523Wei Y, Wu YP, Lin MY, Chen SH, Lin YZ, Li XD, Zheng QS, Xue XY, Xu N. Impact of Obesity on Long-Term Urinary Incontinence after Radical Prostatectomy: A Meta-Analysis. Biomed Res Int. 2018;2018:8279523. DOI: 10.1155/2018/8279523Wenzel M, Preisser F, Mueller M, Theissen LH, Welte MN, Hoeh B, Humke C, Bernatz S, Bodelle B, Würnschimmel C, Tilki D, Huland H, Graefen M, Roos FC, Becker A, Karakiewicz PI, Chun FKH, Kluth LA, Mandel P. Effect of prostatic apex shape (Lee types) and urethral sphincter length in preoperative MRI on very early continence rates after radical prostatectomy. Int Urol Nephrol. 2021;53(7):1297-1303. DOI: 10.1007/s11255-021-02809-7Wenzel M, Preisser F, Mueller M, Theissen LH, Welte MN, Hoeh B, Humke C, Bernatz S, Bodelle B, Würnschimmel C, Tilki D, Huland H, Graefen M, Roos FC, Becker A, Karakiewicz PI, Chun FKH, Kluth LA, Mandel P. Effect of prostatic apex shape (Lee types) and urethral sphincter length in preoperative MRI on very early continence rates after radical prostatectomy. Int Urol Nephrol. 2021;53(7):1297-1303. DOI: 10.1007/s11255-021-02809-7Kadono Y, Nohara T, Kawaguchi S, Iwamoto H, Yaegashi H, Shigehara K, Izumi K, Mizokami A. Impact of Pelvic Anatomical Changes Caused by Radical Prostatectomy. Cancers (Basel). 2022;14(13):3050. DOI: 10.3390/cancers14133050Kadono Y, Nohara T, Kawaguchi S, Iwamoto H, Yaegashi H, Shigehara K, Izumi K, Mizokami A. Impact of Pelvic Anatomical Changes Caused by Radical Prostatectomy. Cancers (Basel). 2022;14(13):3050. DOI: 10.3390/cancers14133050Cao L, Yang Z, Qi L, Chen M. Robot-assisted and laparoscopic vs open radical prostatectomy in clinically localized prostate cancer: perioperative, functional, and oncological outcomes: A Systematic review and meta-analysis. Medicine (Baltimore). 2019;98(22):e15770. DOI: 10.1097/MD.0000000000015770Cao L, Yang Z, Qi L, Chen M. Robot-assisted and laparoscopic vs open radical prostatectomy in clinically localized prostate cancer: perioperative, functional, and oncological outcomes: A Systematic review and meta-analysis. Medicine (Baltimore). 2019;98(22):e15770. DOI: 10.1097/MD.0000000000015770Di Pierro GB, Baumeister P, Stucki P, Beatrice J, Danuser H, Mattei A. A prospective trial comparing consecutive series of open retropubic and robot-assisted laparoscopic radical prostatectomy in a centre with a limited caseload. Eur Urol. 2011;59(1):1-6. DOI: 10.1016/j.eururo.2010.10.026Di Pierro GB, Baumeister P, Stucki P, Beatrice J, Danuser H, Mattei A. A prospective trial comparing consecutive series of open retropubic and robot-assisted laparoscopic radical prostatectomy in a centre with a limited caseload. Eur Urol. 2011;59(1):1-6. DOI: 10.1016/j.eururo.2010.10.026Walsh PC. Anatomic radical prostatectomy: evolution of the surgical technique. J Urol. 1998;160(6 Pt 2):2418-2424. DOI: 10.1097/00005392-199812020-00010Walsh PC. Anatomic radical prostatectomy: evolution of the surgical technique. J Urol. 1998;160(6 Pt 2):2418-2424. DOI: 10.1097/00005392-199812020-00010Walz J, Epstein JI, Ganzer R, Graefen M, Guazzoni G, Kaouk J, Menon M, Mottrie A, Myers RP, Patel V, Tewari A, Villers A, Artibani W. A Critical Analysis of the Current Knowledge of Surgical Anatomy of the Prostate Related to Optimisation of Cancer Control and Preservation of Continence and Erection in Candidates for Radical Prostatectomy: An Update. Eur Urol. 2016;70(2):301-311. DOI: 10.1016/j.eururo.2016.01.026Walz J, Epstein JI, Ganzer R, Graefen M, Guazzoni G, Kaouk J, Menon M, Mottrie A, Myers RP, Patel V, Tewari A, Villers A, Artibani W. A Critical Analysis of the Current Knowledge of Surgical Anatomy of the Prostate Related to Optimisation of Cancer Control and Preservation of Continence and Erection in Candidates for Radical Prostatectomy: An Update. Eur Urol. 2016;70(2):301-311. DOI: 10.1016/j.eururo.2016.01.026Rocco F, Gadda F, Acquati P, Carmignani L, Favini P, Dell'Orto P, Ferruti M, Avogadro A, Casellato S, Grisotto M. Ricerca personale: la ricostruzione dello sfintere striato uretrale [Personal research: reconstruction of the urethral striated sphincter]. Arch Ital Urol Androl. 2001;73(3):127-137. (In Italian). PMID: 11822054.Rocco F, Gadda F, Acquati P, Carmignani L, Favini P, Dell'Orto P, Ferruti M, Avogadro A, Casellato S, Grisotto M. Ricerca personale: la ricostruzione dello sfintere striato uretrale [Personal research: reconstruction of the urethral striated sphincter]. Arch Ital Urol Androl. 2001;73(3):127-137. (In Italian). PMID: 11822054.Rocco B, Gregori A, Stener S, Santoro L, Bozzola A, Galli S, Knez R, Scieri F, Scaburri A, Gaboardi F. Posterior reconstruction of the rhabdosphincter allows a rapid recovery of continence after transperitoneal videolaparoscopic radical prostatectomy. Eur Urol. 2007;51(4):996-1003. DOI: 10.1016/j.eururo.2006.10.014Rocco B, Gregori A, Stener S, Santoro L, Bozzola A, Galli S, Knez R, Scieri F, Scaburri A, Gaboardi F. Posterior reconstruction of the rhabdosphincter allows a rapid recovery of continence after transperitoneal videolaparoscopic radical prostatectomy. Eur Urol. 2007;51(4):996-1003. DOI: 10.1016/j.eururo.2006.10.014Coelho RF, Chauhan S, Orvieto MA, Sivaraman A, Palmer KJ, Coughlin G, Patel VR. Influence of modified posterior reconstruction of the rhabdosphincter on early recovery of continence and anastomotic leakage rates after robot-assisted radical prostatectomy. Eur Urol. 2011;59(1):72-80. Erratum in: Eur Urol. 2018. DOI: 10.1016/j.eururo.2010.08.025Coelho RF, Chauhan S, Orvieto MA, Sivaraman A, Palmer KJ, Coughlin G, Patel VR. Influence of modified posterior reconstruction of the rhabdosphincter on early recovery of continence and anastomotic leakage rates after robot-assisted radical prostatectomy. Eur Urol. 2011;59(1):72-80. Erratum in: Eur Urol. 2018. DOI: 10.1016/j.eururo.2010.08.025Rocco B, Cozzi G, Spinelli MG, Coelho RF, Patel VR, Tewari A, Wiklund P, Graefen M, Mottrie A, Gaboardi F, Gill IS, Montorsi F, Artibani W, Rocco F. Posterior musculofascial reconstruction after radical prostatectomy: a systematic review of the literature. Eur Urol. 2012;62(5):779-790. DOI: 10.1016/j.eururo.2012.05.041Rocco B, Cozzi G, Spinelli MG, Coelho RF, Patel VR, Tewari A, Wiklund P, Graefen M, Mottrie A, Gaboardi F, Gill IS, Montorsi F, Artibani W, Rocco F. Posterior musculofascial reconstruction after radical prostatectomy: a systematic review of the literature. Eur Urol. 2012;62(5):779-790. DOI: 10.1016/j.eururo.2012.05.041Sutherland DE, Linder B, Guzman AM, Hong M, Frazier HA 2nd, Engel JD, Bianco FJ Jr. Posterior rhabdosphincter reconstruction during robotic assisted radical prostatectomy: results from a phase II randomized clinical trial. J Urol. 2011;185(4):1262-1267. DOI: 10.1016/j.juro.2010.11.085Sutherland DE, Linder B, Guzman AM, Hong M, Frazier HA 2nd, Engel JD, Bianco FJ Jr. Posterior rhabdosphincter reconstruction during robotic assisted radical prostatectomy: results from a phase II randomized clinical trial. J Urol. 2011;185(4):1262-1267. DOI: 10.1016/j.juro.2010.11.085Grasso AA, Mistretta FA, Sandri M, Cozzi G, De Lorenzis E, Rosso M, Albo G, Palmisano F, Mottrie A, Haese A, Graefen M, Coelho R, Patel VR, Rocco B. Posterior musculofascial reconstruction after radical prostatectomy: an updated systematic review and a meta-analysis. BJU Int. 2016;118(1):20-34. DOI: 10.1111/bju.13480Grasso AA, Mistretta FA, Sandri M, Cozzi G, De Lorenzis E, Rosso M, Albo G, Palmisano F, Mottrie A, Haese A, Graefen M, Coelho R, Patel VR, Rocco B. Posterior musculofascial reconstruction after radical prostatectomy: an updated systematic review and a meta-analysis. BJU Int. 2016;118(1):20-34. DOI: 10.1111/bju.13480Cui J, Guo H, Li Y, Chen S, Zhu Y, Wang S, Wang Y, Liu X, Wang W, Han J, Chen P, Nie S, Yin G, Shi B. Pelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques. Sci Rep. 2017;7(1):2737. DOI: 10.1038/s41598-017-02991-8Cui J, Guo H, Li Y, Chen S, Zhu Y, Wang S, Wang Y, Liu X, Wang W, Han J, Chen P, Nie S, Yin G, Shi B. Pelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques. Sci Rep. 2017;7(1):2737. DOI: 10.1038/s41598-017-02991-8

The authors declare that there are no conflicts of interest present.