title: Modified radical retropubic prostatectomy: personal technical variation "tension free continuum-urethral anastomosis (T.F.C.U.A)" with optical magnification in the preservation of the bladder neck, and estimation of the urinary continence.
abstract: OBJECTIVE
  To reassess the double continence technique for open retropubic radical prostatectomy, proposed by Malizia and employed by Pagano et al., with the "tension free continuum-urethral anastomosis" (T.F.C.U.A.) personal modification and the use of image magnification optical systems and appropriate and delicate surgical tools.
  
  
  METHODS
  A total of 173 radical retropubic prostatectomies, performed by the same surgeon, were evaluated in terms of early and late continence.
  
  
  RESULTS
  The presence of residual prostate cancer cells within the muscle layer was always excluded by the histopathological examination that also demonstrated that the muscle layer was well represented; satisfactory outcomes were obtained in terms of both early urinary continence (60%) and urinary continence at 6-12 month follow-up (92.4% for the whole series and 97.2% for the last series of patients).
  
  
  CONCLUSIONS
  The "tension free" anastomosis obtained by the suspension of the anterior bladder wall to the the pubis along the median line allowed to achieve satisfactory outcomes in terms of urinary continence, even if these data obviously need to be confirmed by other series and comparative trials.
authors.affiliation: Division of Urology - Hospital Sant'Antonio Abate - Gallarate (Va). pozzi.emilio@libero.it.
authors.forename: Alberto
authors.initials: A
authors.lastname: Roggia
authors.forename: Emilio
authors.initials: E
authors.lastname: Pozzi
authors.forename: Guglielmo
authors.initials: G
authors.lastname: Mantica
authors.forename: Maurizio
authors.initials: M
authors.lastname: Salvadore
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Choussos
authors.forename: Carmelo
authors.initials: C
authors.lastname: Di Franco
authors.forename: Carlo Maria
authors.initials: CM
authors.lastname: Bianchi
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D059351:Organ Sparing Treatments; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D014521:Urethra / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery; D014549:Urinary Incontinence / Q000517:prevention & control*