title: Anterior and posterior reconstruction technique and its impact on early return of continence after robot-assisted radical prostatectomy.
abstract: OBJECTIVE
  Urinary incontinence is a significant cause of morbidity after robot-assisted radical prostatectomy (RARP). Several techniques have been developed to improve continence rates. In this study, we compared the continence rates of patients who underwent RARP with total reconstruction and without reconstruction.
  
  
  METHODS
  Between March 2005 and September 2009, 245 patients underwent RARP at our institution. The initial 120 patients (control group) underwent standard RARP without reconstruction and the last 125 patients (reconstruction group) underwent a total reconstruction technique, which included an anterior and posterior reconstruction. Patients were followed for 1, 4, 12, 24, 36, and 52 weeks after the operation. Continence was defined with strict criteria-no usage of pads and no leakage of urine.
  
  
  RESULTS
  In the reconstruction group, the continence rates at, 1, 4, 12, 24, 36, and 52 weeks postoperatively were 71%, 72%, 80%, 84%, 86%, and 91%, respectively; in the control group, the continence rates were 23%, 49%, 76%, 80%, 85%, and 88%, respectively.
  
  
  CONCLUSIONS
  The overall continence rates were similar in both groups at 52 weeks of follow-up. Patients in the total reconstruction group, however, had higher early continence rates compared with patients in the control group. The total reconstruction procedure is an efficient way to achieve an early return to continence.
authors: Department of Urology, Istanbul Bilim University School of Medicine, Istanbul, Turkey. fatihatug@hotmail.com
authors: Fatih
authors: F
authors: Atug
authors: Ali Riza
authors: AR
authors: Kural
authors: Ilter
authors: I
authors: Tufek
authors: Sudesh
authors: S
authors: Srivastav
authors: Haluk
authors: H
authors: Akpinar
mesh_terms: D003710:Demography; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012371:Robotics / Q000379:methods*; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology*