Laparoscopic radical prostatectomy
https://doi.org/10.21886/2308-6424-2018-6-3-57-72
Abstract
Laparoscopic (including robot-assisted) radical prostatectomy has become an alternative to open radical retropubic surgery. The main surgical techniques for reducing the period of urinary incontinence after radical prostatectomy are aimed at preserving, reconstructing and strengthening the structures that provide a complex mechanism for urine retention, namely, the pubo-prostate-vesicular ligaments, bladder neck, Denonvilliers` fascia, in procuring the functional length of the urethra, etc. Despite advances in the study of urinary continence mechanism there exists a large number of problems that need to be discussed. Therefore, researchers continue to search for solutions to create an optimal technique that ensures the earliest possible of urine retention, which is one of the main tasks in the social and medical rehabilitation of a patient who has undergone radical prostatectomy. This article describes the main modern techniques and methods for performing radical laparoscopic prostatectomy, which are aimed at achieving the earliest possible recovery of the urine retention mechanism.
About the Authors
V. A. Perepechay
Rostov State Medical University; Rostov Clinical Hospital, Southern District Medical Center of the Federal Medical and Biological Agency
Russian Federation
Russian Federation
Vadim A. Perepechay ‒ M.D., Ph.D. (M); Urologist of the Highest Category Board Certified, (Russian Federation); Associate Professor at the Department of Urology and Human Reproductive Health with the course of Pediatric Urologyandrology of the Advanced Training and Specialist Professional Retraining Faculty RSMU; Сhief of the Urology Center, Chief of Urology Division, R ClH, Southern District Medical Center of the FMBA.
Rostov-on-Don, tel.: +7 (928) 777-66-97
O. N. Vasiliev
Rostov Clinical Hospital, Southern District Medical Center of the Federal Medical and Biological Agency
Russian Federation
Russian Federation
Oleg N. Vasiliev ‒ M.D., Ph.D. doctoral candidate (M); Assistant of Professor of the Department of Urology and Human Reproductive Health with the course of Pediatric Urologyandrology of the Advanced Training and Specialist Professional Retraining Faculty.
Rostov-on-Don
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Review
For citations:
Perepechay V.A., Vasiliev O.N. Laparoscopic radical prostatectomy. Urology Herald. 2018;6(3):57-72. (In Russ.) https://doi.org/10.21886/2308-6424-2018-6-3-57-72
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