Results of Simplified Urethropexy in the Recovery of Continence After Radical Laparoscopic Prostatectomy
To analyze the effectiveness of simplified urethropexy in the evolution of urinary incontinence after radical laparoscopic prostatectomy. Between January 2007 and December 2008, 104 patients were included in a randomized trial to assess the effectiveness of simplified urethropexy. The simplified ure...
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| Veröffentlicht in: | Journal of endourology 2011-11, Vol.25 (11), p.1759-1762 |
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| creator | NUNEZ-MORA, Carlos GARCIA-MEDIERO, Jose Maria CABRERA-CASTILLO, Pedro M PEREZ-UTRILLA, Manuel ANGULO-CUESTA, Javier |
| description | To analyze the effectiveness of simplified urethropexy in the evolution of urinary incontinence after radical laparoscopic prostatectomy.
Between January 2007 and December 2008, 104 patients were included in a randomized trial to assess the effectiveness of simplified urethropexy. The simplified urethropexy technique was performed on conclusion of a urethrovesical anastomosis with running suture and, before cutting the suture material, a suture was applied using the same material with a needle through the pubic tubercle, tightening it and securing it with a Hem-o-lok. Fifty-one patients qualified for the trial in the simplified urethropexy group (group 1) and another 51 in the control group without urethropexy (group 2). Incontinence was defined as the lack of the need for protection for normal life, and the degree of continence was compared at 3, 6, and 12 months after surgery.
Surgery lasted 141 minutes in group 1 and 139 in group 2 (NS). There were no secondary complications such as urine retention, osteitis pubis, or bladder perforation. After 3 months, 47.1% of patients in each group declared continence (NS). After 6 months, 72.6% of patients in group 1 and 66.7% in group 2 (P |
| doi_str_mv | 10.1089/end.2011.0056 |
| format | Article |
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Between January 2007 and December 2008, 104 patients were included in a randomized trial to assess the effectiveness of simplified urethropexy. The simplified urethropexy technique was performed on conclusion of a urethrovesical anastomosis with running suture and, before cutting the suture material, a suture was applied using the same material with a needle through the pubic tubercle, tightening it and securing it with a Hem-o-lok. Fifty-one patients qualified for the trial in the simplified urethropexy group (group 1) and another 51 in the control group without urethropexy (group 2). Incontinence was defined as the lack of the need for protection for normal life, and the degree of continence was compared at 3, 6, and 12 months after surgery.
Surgery lasted 141 minutes in group 1 and 139 in group 2 (NS). There were no secondary complications such as urine retention, osteitis pubis, or bladder perforation. After 3 months, 47.1% of patients in each group declared continence (NS). After 6 months, 72.6% of patients in group 1 and 66.7% in group 2 (P<0.05) declared continence. After 12 months, 92.2% of patients in group 1 and 84.3% in group 2 declared continence.
In our experience, simplified urethropexy is a simple, nontime-consuming technique that shows a slight clinical improvement in continence within 6 and 12 months, without reaching significant differences with the Fisher Test. It would be necessary to perform a trial with a greater number of patients to confirm these data.</description><identifier>ISSN: 0892-7790</identifier><identifier>EISSN: 1557-900X</identifier><identifier>DOI: 10.1089/end.2011.0056</identifier><identifier>PMID: 21923417</identifier><language>eng</language><publisher>Larchmont, NY: Liebert</publisher><subject>Analysis ; Anastomosis, Surgical ; Biological and medical sciences ; Care and treatment ; Case-Control Studies ; Diagnosis ; Health aspects ; Humans ; Laparoscopic surgery ; Laparoscopy ; Laparoscopy - adverse effects ; Male ; Medical sciences ; Needles ; Nephrology. Urinary tract diseases ; Prostatectomy ; Prostatectomy - adverse effects ; Recovery of Function ; Urethra - physiopathology ; Urethra - surgery ; Urinary incontinence ; Urinary Incontinence - etiology ; Urinary Incontinence - physiopathology ; Urologic Surgical Procedures - adverse effects</subject><ispartof>Journal of endourology, 2011-11, Vol.25 (11), p.1759-1762</ispartof><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2011 Mary Ann Liebert, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-ad9e50ff8f6fccc8b4f6bcf287b50a6950e4bcc644c5d70777d8280382c4af073</citedby><cites>FETCH-LOGICAL-c389t-ad9e50ff8f6fccc8b4f6bcf287b50a6950e4bcc644c5d70777d8280382c4af073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25229460$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21923417$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NUNEZ-MORA, Carlos</creatorcontrib><creatorcontrib>GARCIA-MEDIERO, Jose Maria</creatorcontrib><creatorcontrib>CABRERA-CASTILLO, Pedro M</creatorcontrib><creatorcontrib>PEREZ-UTRILLA, Manuel</creatorcontrib><creatorcontrib>ANGULO-CUESTA, Javier</creatorcontrib><title>Results of Simplified Urethropexy in the Recovery of Continence After Radical Laparoscopic Prostatectomy</title><title>Journal of endourology</title><addtitle>J Endourol</addtitle><description>To analyze the effectiveness of simplified urethropexy in the evolution of urinary incontinence after radical laparoscopic prostatectomy.
Between January 2007 and December 2008, 104 patients were included in a randomized trial to assess the effectiveness of simplified urethropexy. The simplified urethropexy technique was performed on conclusion of a urethrovesical anastomosis with running suture and, before cutting the suture material, a suture was applied using the same material with a needle through the pubic tubercle, tightening it and securing it with a Hem-o-lok. Fifty-one patients qualified for the trial in the simplified urethropexy group (group 1) and another 51 in the control group without urethropexy (group 2). Incontinence was defined as the lack of the need for protection for normal life, and the degree of continence was compared at 3, 6, and 12 months after surgery.
Surgery lasted 141 minutes in group 1 and 139 in group 2 (NS). There were no secondary complications such as urine retention, osteitis pubis, or bladder perforation. After 3 months, 47.1% of patients in each group declared continence (NS). After 6 months, 72.6% of patients in group 1 and 66.7% in group 2 (P<0.05) declared continence. After 12 months, 92.2% of patients in group 1 and 84.3% in group 2 declared continence.
In our experience, simplified urethropexy is a simple, nontime-consuming technique that shows a slight clinical improvement in continence within 6 and 12 months, without reaching significant differences with the Fisher Test. It would be necessary to perform a trial with a greater number of patients to confirm these data.</description><subject>Analysis</subject><subject>Anastomosis, Surgical</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Case-Control Studies</subject><subject>Diagnosis</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Laparoscopic surgery</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Needles</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Prostatectomy</subject><subject>Prostatectomy - adverse effects</subject><subject>Recovery of Function</subject><subject>Urethra - physiopathology</subject><subject>Urethra - surgery</subject><subject>Urinary incontinence</subject><subject>Urinary Incontinence - etiology</subject><subject>Urinary Incontinence - physiopathology</subject><subject>Urologic Surgical Procedures - adverse effects</subject><issn>0892-7790</issn><issn>1557-900X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0d-rFCEUB3CJorvdeuw1hIieZjs6zug8Lku_YKHYutCbuM6xNWbGSd1o__scdiuC8EHRzzmoX0KeMlgzUN0rnPo1B8bWAE17j6xY08iqA_hyn6zKOa-k7OCGPErpGwCrW1Y_JDecdbwWTK7IcY_pNOREg6Of_DgP3nns6V3EfIxhxp9n6ieaj0j3aMMPjOdFbsOU_YSTRbpxGSPdm95bM9CdmU0MyYbZW_qxrLLJaHMYz4_JA2eGhE-u8y25e_P68_Zdtfvw9v12s6tsrbpcmb7DBpxTrnXWWnUQrj1Yx5U8NGDargEUB2tbIWzTS5BS9oorqBW3wjiQ9S15eek7x_D9hCnr0SeLw2AmDKekO6iZaJlURT6_yK9mQO0nF3I0dtF6w6UALkGJotb_UWX0OHobJnS-7P9TUF0KbHl-iuj0HP1o4lkz0EtkukSml8j0Elnxz64XPh1G7P_o3xkV8OIKTCp_7KKZrE9_XcN5J1qofwFUj574</recordid><startdate>20111101</startdate><enddate>20111101</enddate><creator>NUNEZ-MORA, Carlos</creator><creator>GARCIA-MEDIERO, Jose Maria</creator><creator>CABRERA-CASTILLO, Pedro M</creator><creator>PEREZ-UTRILLA, Manuel</creator><creator>ANGULO-CUESTA, Javier</creator><general>Liebert</general><general>Mary Ann Liebert, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20111101</creationdate><title>Results of Simplified Urethropexy in the Recovery of Continence After Radical Laparoscopic Prostatectomy</title><author>NUNEZ-MORA, Carlos ; GARCIA-MEDIERO, Jose Maria ; CABRERA-CASTILLO, Pedro M ; PEREZ-UTRILLA, Manuel ; ANGULO-CUESTA, Javier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-ad9e50ff8f6fccc8b4f6bcf287b50a6950e4bcc644c5d70777d8280382c4af073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Analysis</topic><topic>Anastomosis, Surgical</topic><topic>Biological and medical sciences</topic><topic>Care and treatment</topic><topic>Case-Control Studies</topic><topic>Diagnosis</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Laparoscopic surgery</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Needles</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Prostatectomy</topic><topic>Prostatectomy - adverse effects</topic><topic>Recovery of Function</topic><topic>Urethra - physiopathology</topic><topic>Urethra - surgery</topic><topic>Urinary incontinence</topic><topic>Urinary Incontinence - etiology</topic><topic>Urinary Incontinence - physiopathology</topic><topic>Urologic Surgical Procedures - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NUNEZ-MORA, Carlos</creatorcontrib><creatorcontrib>GARCIA-MEDIERO, Jose Maria</creatorcontrib><creatorcontrib>CABRERA-CASTILLO, Pedro M</creatorcontrib><creatorcontrib>PEREZ-UTRILLA, Manuel</creatorcontrib><creatorcontrib>ANGULO-CUESTA, Javier</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endourology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NUNEZ-MORA, Carlos</au><au>GARCIA-MEDIERO, Jose Maria</au><au>CABRERA-CASTILLO, Pedro M</au><au>PEREZ-UTRILLA, Manuel</au><au>ANGULO-CUESTA, Javier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Results of Simplified Urethropexy in the Recovery of Continence After Radical Laparoscopic Prostatectomy</atitle><jtitle>Journal of endourology</jtitle><addtitle>J Endourol</addtitle><date>2011-11-01</date><risdate>2011</risdate><volume>25</volume><issue>11</issue><spage>1759</spage><epage>1762</epage><pages>1759-1762</pages><issn>0892-7790</issn><eissn>1557-900X</eissn><abstract>To analyze the effectiveness of simplified urethropexy in the evolution of urinary incontinence after radical laparoscopic prostatectomy.
Between January 2007 and December 2008, 104 patients were included in a randomized trial to assess the effectiveness of simplified urethropexy. The simplified urethropexy technique was performed on conclusion of a urethrovesical anastomosis with running suture and, before cutting the suture material, a suture was applied using the same material with a needle through the pubic tubercle, tightening it and securing it with a Hem-o-lok. Fifty-one patients qualified for the trial in the simplified urethropexy group (group 1) and another 51 in the control group without urethropexy (group 2). Incontinence was defined as the lack of the need for protection for normal life, and the degree of continence was compared at 3, 6, and 12 months after surgery.
Surgery lasted 141 minutes in group 1 and 139 in group 2 (NS). There were no secondary complications such as urine retention, osteitis pubis, or bladder perforation. After 3 months, 47.1% of patients in each group declared continence (NS). After 6 months, 72.6% of patients in group 1 and 66.7% in group 2 (P<0.05) declared continence. After 12 months, 92.2% of patients in group 1 and 84.3% in group 2 declared continence.
In our experience, simplified urethropexy is a simple, nontime-consuming technique that shows a slight clinical improvement in continence within 6 and 12 months, without reaching significant differences with the Fisher Test. It would be necessary to perform a trial with a greater number of patients to confirm these data.</abstract><cop>Larchmont, NY</cop><pub>Liebert</pub><pmid>21923417</pmid><doi>10.1089/end.2011.0056</doi><tpages>4</tpages></addata></record> |
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| subjects | Analysis Anastomosis, Surgical Biological and medical sciences Care and treatment Case-Control Studies Diagnosis Health aspects Humans Laparoscopic surgery Laparoscopy Laparoscopy - adverse effects Male Medical sciences Needles Nephrology. Urinary tract diseases Prostatectomy Prostatectomy - adverse effects Recovery of Function Urethra - physiopathology Urethra - surgery Urinary incontinence Urinary Incontinence - etiology Urinary Incontinence - physiopathology Urologic Surgical Procedures - adverse effects |
| title | Results of Simplified Urethropexy in the Recovery of Continence After Radical Laparoscopic Prostatectomy |
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