Vesicourethral anastomosis modified posterior support in extraperitoneoscopic radical prostatectomy
DOI:
https://doi.org/10.15574/PS.2025.4(89).7682Keywords:
radical prostatectomy, vesicourethral anastomosis, posterior support, prostate cancerAbstract
Despite significant advances in surgical techniques for radical prostatectomy (RP), early urinary continence (UC) remains one of the clinical challenges. Multiple vesicourethral anastomosis (VUA) techniques, including anatomical reconstruction and suspension strategies, have been proposed to improve urinary continence outcomes. However, a clear consensus on the optimal approach has yet to be established.
Aim - to describe and evaluate the safety and feasibility of the modified posterior support of the vesicourethral anastomosis (PS-VUA) in the context of urinary continence (UC) after extraperitoneoscopic radical prostatectomy (ERP).
Materials and methods. This prospective study included 54 patients with non-metastatic prostate cancer (PCa) who underwent ERP. Patients were assigned into two equal groups (n=27 each) according to whether the PS-VUA was performed. Urinary continence (UC) was evaluated over a 12-month follow-up period after surgery.
Results. A statistically significant UC improvement was observed during the first 3 postoperative months in the group of patients who underwent PS-VUA (p<0.05). No statistically significant differences were observed between the study groups in terms of clinical characteristics, preservation volume, or postoperative complications (limited to Clavien-Dindo grade I-II events).
Conclusions. PS-VUA represents a safe and feasible surgical technique that may contribute to improved early UC outcomes following ERP in some groups of patients.
The study was conducted in accordance with the Declaration of Helsinki. The protocol was approved by the Local Ethics Committee. Written informed consent was obtained from all participants.
The author declares no conflict of interest.
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