Indian-origin scientist's technique for better urinary continence after prostatectomy

Washington, Sep 4 (ANI): An Indian-origin scientist, Vipul R. Patel, has found that the periurethral suspension technique leads to increased urinary continence rates at 3 months following robot-assisted laparoscopic radical prostatectomy (RALP).

RALP is a widespread and rapidly expanding procedure around the world.

Many studies have shown that RALP is feasible with limited blood loss, favourable complication rates, and short hospital times.

Besides, the continence rates 1 year after RALP reach over 90 percent in most of the large, single-centre prospective studies - results at least comparable to the open radical retropubic prostatectomy (RRP).

But early urinary incontinence after radical prostatectomy (RP) is still a significant concern for patients with prostate-confined cancer.

To date, a variety of surgical techniques have been tried to improve the early return of continence after RP.

"We describe our technique of periurethral retropubic suspension stitch during RALP and report its impact on early recovery of urinary continence in the European Urology article entitled 'Periurethral Suspension Stitch During Robot-Assisted Laparoscopic Radical Prostatectomy: Description of the Technique and Continence Outcomes'", said Patel.

"We analyse 331 consecutive patients who underwent RALP, 94 without the placement of suspension stitch (group 1) and 237 with the application of the suspension stitch (group 2)," he added.

The suspension technique led to significantly greater continence rates at 3 months after RALP.

The median/mean interval to recovery of continence was also statistically significantly shorter in the suspension group.

Continence was defined as the use of no absorbent pads or no leakage of urine.

The study has been published in European Urology, the official journal of the European Association of Urology. (ANI)