title: Results of simplified urethropexy in the recovery of continence after radical laparoscopic prostatectomy.
abstract: OBJECTIVE
  To analyze the effectiveness of simplified urethropexy in the evolution of urinary incontinence after radical laparoscopic prostatectomy.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Hospital Oncológico MD Anderson Internacional España, Madrid, Spain. cnunez@mdanderson.es
authors.forename: Carlos
authors.initials: C
authors.lastname: Nuñez-Mora
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: García-Mediero
authors.forename: Pedro M
authors.initials: PM
authors.lastname: Cabrera-Castillo
authors.forename: Manuel
authors.initials: M
authors.lastname: Pérez-Utrilla
authors.forename: Javier
authors.initials: J
authors.lastname: Angulo-Cuesta
mesh_terms: D000714:Anastomosis, Surgical; D016022:Case-Control Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D009339:Needles; D011468:Prostatectomy / Q000009:adverse effects*; D020127:Recovery of Function; D014521:Urethra / Q000503:physiopathology / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology* / Q000503:physiopathology*; D013520:Urologic Surgical Procedures / Q000009:adverse effects*