[Technical problems in achieving continence after perineal prostatectomy].
After radical perineal prostatectomy a 88% and 94% continence rate can be achieved respectively at 6 month and 12 month follow-up. Stress incontinence persists in 4.5% of cases, while in only 1.5% complete incontinence is observed during night and day without spontaneous voidings. In our experience of 176 consecutive perineal radical prostatectomies we observed that in order to obtain a complete recovery of urinary continence, in absence of signs of detrusor instability, a functional urethral length more than 16 mm and urethral closure pressure more than 42 cm H2O are needed.
Austoni
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Clinica Urologica, Università di Milano, Ospedale San Giuseppe, Fatebenefratelli, Milano. edoardoaustoni@oh-fbf.it
D006801:Humans; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods*; D014549:Urinary Incontinence / Q000209:etiology / Q000517:prevention & control*