Bladder neck sparing during robot-assisted
laparoscopic radical prostatectomy: Six-year
experience

Tunc, Lutfi; yilmaz, sercan; GAZEL, EYMEN; Yalcin, Serdar; YILDIZ, KENAN YİĞİT; Ak, Esat

doi:10.14744/nci.2020.49092

Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience

Sercan YILMAZ, (Department of Urology, Gulhane Training and Research Hospital, Ankara, Turkey)

Esat Ak, (Department of Urology, Mersin Training and Research City Hospital, Mersin, Turkey)

Eymen Gazel, (Department of Urology, Ankara Acibadem Hospital, Ankara, Turkey)

Serdar YALÇIN, (Department of Urology, Gulhane Training and Research Hospital, Ankara, Turkey)

Kenan Yigit Yildiz, (Department of Urology, Kackar Government Hospital, Rize, Turkey)

Lütfi TUNÇ (Department of Urology, Gazi University Faculty of Medicine, Ankara, Turkey)

İstanbul Kuzey Klinikleri

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Yıl: 2021 Cilt: 8 Sayı: 3 Sayfa Aralığı: 269 - 274 Metin Dili: İngilizce DOI: 10.14744/nci.2020.49092 İndeks Tarihi: 27-05-2022

Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience

Öz:

OBJECTIVE: Prostate cancer is the most frequently diagnosed cancer among men in developed countries. Radical prostatectomy (RP) is the standard surgical treatment for patients with organ-confined disease and robot-assisted laparoscopic radical prostatectomy (RALP) procedures get more popular in the past 20 years. The most important factor of continence after RP is the preservation of the functional sphincter mechanisms. Tunc et al. described the novel bladder neck preserving technique in RALRP in 2015. The purpose of this study is to present our long-term results of our novel technique during RALP performed by single surgeon (LT). METHODS: In this study, 331 patients who went under procedure RALP between January 2012 and December 2017 analyzed retrospectively. Bladder neck sparing technique was performed for all patients used by a four-armed da Vinci robotic surgical system (Intuitive Surgical, Inc., Sunnyvale, CA). Quality of life (QoL) scores were assessed before RALP, after urethral catheter removal, and at the 1st month after RALP used by SF-12 QoL questionnaire. Patients without urine leakage during coughing or sneezing, as well as those who stayed totally dry, were considered as continent. Those who used more than 1 protective pad per day and/or had urine leakage during coughing, sneezing, or during the night were considered incontinent. RESULTS: The mean operation time, docking time, and anastomosis time were 76.9±28.9, 7.2±2.2, and 18±3.1 min, respectively. Estimated blood loss was 51.6±22.9 ml. The mean hospital stay was 2.2±0.8 days. The mean duration of the catheter was 7.1±1.3 days. After catheter removal, 310 (93.6%) of patients were continent immediately. During follow-up, 318 (96%) were continent after 1 month and 329 (99.3%) were totally continent after 1 year. No patient received surgical treatment for stress incontinence. CONCLUSION: Since we have defined bladder neck sparing technique, we have realized that our technique is very effective with our long-term results. Our novel technique provided very early continence at the time of catheter removal after RALP within short-term follow-up in addition to favorable oncologic results.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	yilmaz s, Ak E, GAZEL E, Yalcin S, YILDIZ K, Tunc L (2021). Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience. , 269 - 274. 10.14744/nci.2020.49092
Chicago	yilmaz sercan,Ak Esat,GAZEL EYMEN,Yalcin Serdar,YILDIZ KENAN YİĞİT,Tunc Lutfi Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience. (2021): 269 - 274. 10.14744/nci.2020.49092
MLA	yilmaz sercan,Ak Esat,GAZEL EYMEN,Yalcin Serdar,YILDIZ KENAN YİĞİT,Tunc Lutfi Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience. , 2021, ss.269 - 274. 10.14744/nci.2020.49092
AMA	yilmaz s,Ak E,GAZEL E,Yalcin S,YILDIZ K,Tunc L Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience. . 2021; 269 - 274. 10.14744/nci.2020.49092
Vancouver	yilmaz s,Ak E,GAZEL E,Yalcin S,YILDIZ K,Tunc L Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience. . 2021; 269 - 274. 10.14744/nci.2020.49092
IEEE	yilmaz s,Ak E,GAZEL E,Yalcin S,YILDIZ K,Tunc L "Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience." , ss.269 - 274, 2021. 10.14744/nci.2020.49092
ISNAD	yilmaz, sercan vd. "Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience". (2021), 269-274. https://doi.org/10.14744/nci.2020.49092

APA	yilmaz s, Ak E, GAZEL E, Yalcin S, YILDIZ K, Tunc L (2021). Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience. İstanbul Kuzey Klinikleri, 8(3), 269 - 274. 10.14744/nci.2020.49092
Chicago	yilmaz sercan,Ak Esat,GAZEL EYMEN,Yalcin Serdar,YILDIZ KENAN YİĞİT,Tunc Lutfi Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience. İstanbul Kuzey Klinikleri 8, no.3 (2021): 269 - 274. 10.14744/nci.2020.49092
MLA	yilmaz sercan,Ak Esat,GAZEL EYMEN,Yalcin Serdar,YILDIZ KENAN YİĞİT,Tunc Lutfi Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience. İstanbul Kuzey Klinikleri, vol.8, no.3, 2021, ss.269 - 274. 10.14744/nci.2020.49092
AMA	yilmaz s,Ak E,GAZEL E,Yalcin S,YILDIZ K,Tunc L Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience. İstanbul Kuzey Klinikleri. 2021; 8(3): 269 - 274. 10.14744/nci.2020.49092
Vancouver	yilmaz s,Ak E,GAZEL E,Yalcin S,YILDIZ K,Tunc L Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience. İstanbul Kuzey Klinikleri. 2021; 8(3): 269 - 274. 10.14744/nci.2020.49092
IEEE	yilmaz s,Ak E,GAZEL E,Yalcin S,YILDIZ K,Tunc L "Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience." İstanbul Kuzey Klinikleri, 8, ss.269 - 274, 2021. 10.14744/nci.2020.49092
ISNAD	yilmaz, sercan vd. "Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience". İstanbul Kuzey Klinikleri 8/3 (2021), 269-274. https://doi.org/10.14744/nci.2020.49092