New method to improve treatment outcomes for radical prostatectomy.
Modifications in radical retropubic prostatectomy that use the deep dorsal vein ligator and either anterior urethropexy or puboprostatic ligament preservation were developed to reduce blood loss and improve continence results. Use of the deep dorsal vein ligator to secure the deep dorsal vein complex also improves visualization of the urethra for transection and the neurovascular bundle for nerve sparing and thereby may assist in laparoscopic radical retropubic prostatectomy.
Avant
O L
OL
Department of Surgery, Division of Urology, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
Jones
J A
JA
Beck
H
H
Hunt
C
C
Straub
M
M
D000368:Aged; D016063:Blood Loss, Surgical / Q000517:prevention & control; D006801:Humans; D007430:Intraoperative Care; D008022:Ligaments / Q000601:surgery; D008026:Ligation / Q000379:methods; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010865:Pilot Projects; D011300:Preoperative Care; D011468:Prostatectomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D013536:Suture Techniques; D014521:Urethra / Q000000981:diagnostic imaging; D014549:Urinary Incontinence / Q000209:etiology / Q000517:prevention & control; D014563:Urodynamics