Incorporation of anterior rectus fascial sling into radical retropubic prostatectomy improves postoperative continence.
OBJECTIVE
To determine the impact of rectus fascial sling suspension at the time of radical retropubic prostatectomy (RRP) on postoperative continence status.


METHODS
A total of 86 patients underwent RRP for clinically localized prostate cancer. Out of 86 patients, a rectus fascial sling procedure was incorporated into RRP in 40 randomly selected patients (group 1). The remaining 46 patients underwent standard RRP without any suspension operation (group 2).


RESULTS
The incontinence rates were 17.5 and 43.5% for groups 1 and 2, respectively (p = 0.010). Incontinence degrees for each group were statistically significant (p = 0.03). The mean time to achieve full continence was 1.4 +/- 2.2 (0-11) and 3.8 +/- 3.8 (0-12) months for groups 1 and 2, respectively (p = 0.026).


CONCLUSIONS
Our results showed that incorporation of an anterior rectus fascial sling into RRP is a reasonable and efficient way of achieving improved rates of postoperative continence.
Altinova
Serkan
S
Ataturk Education and Research Hospital, 1st Urology Clinic, Ankara, Turkey. saltinova@yahoo.com
Demirci
Durmus A
DA
Ozdemir
Ahmet T
AT
Akbulut
Ziya
Z
Atmaca
Ali F
AF
Caglayan
Alper
A
Balbay
Mevlana D
MD
D000328:Adult; D000368:Aged; D000071938:Fasciotomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods*; D053825:Suburethral Slings; D014549:Urinary Incontinence / Q000209:etiology / Q000517:prevention & control*