Vesicourethral anastomosis modified posterior support efficiency in extraperitoneoscopic radical prostatectomy
DOI:
https://doi.org/10.15574/PS.2026.1(90).94100Keywords:
radical prostatectomy, posterior support of the vesicourethral anastomosis, waist circumference, prostate cancerAbstract
Early recovery of urinary continence (UC) remains one of the major functional challenges after radical prostatectomy (RP). Posterior support of the vesicourethral anastomosis has been proposed to improve early continence outcomes. However, its effectiveness in extraperitoneoscopic RP (ERP), particularly in patients with excess body weight, remains insufficiently defined.
Aim - to evaluate the impact of a modified posterior support technique of the vesicourethral anastomosis (PS-VUA) on UC recovery after ERP, stratified by waist circumference (WC).
Materials and methods. This prospective study included 106 patients with non-metastatic prostate cancer (PCa) who underwent ERP. Patients were divided into two groups according to the use of PS-VUA: PS-0 (no posterior support, n=53) and PS-1 (posterior support performed, n=53). A predefined subgroup analysis was conducted according to WC: <102 cm (WC-0) and ≥102 cm (WC-1). UC was evaluated over a 12-month follow-up period after surgery.
Results. The PS-1 group demonstrated significantly higher UC rates at 1, 3, and 6 months postoperatively compared with the PS-0 group. Among patients with WC-1, the PS-VUA was associated with significantly improved UC rates at 1, 3, 6, and 9 months. In contrast, no significant differences were observed in patients with WC-0.
Conclusions. PS-VUA accelerates early UC recovery after ERP, particularly in patients with WC-1.
The study was performed in accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the Local Ethics Committee of the institution mentioned in the work.
The authors declare no conflict of interest.
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