title: Immediate Continence Rates in RALRP: A Comparison of Three Techniques.
abstract: OBJECTIVE
  Robot-assisted laparoscopic radical prostatectomy (RALRP) is said to provide excellent long-term continence. In this study, we compared the early incontinence outcomes of our patients, who had undergone no reconstruction, posterior reconstruction only, or total anatomic restoration and posterior reconstruction.
  
  
  METHODS
  We retrospectively analyzed the patients who underwent RALRP for localized prostate cancer by a single surgeon in our clinic from January 1, 2009-February 1, 2016. Continence was defined as no leakage or use of a safety pad for minimal leakage. The main outcome measure was continence at postoperative week 1 and months 1, 6, and 12.
  
  
  RESULTS
  Between 2009 and 2016, 239 patients underwent RALRP for localized prostate disease. Seventy-four patients underwent a standard approach (group 1), 88 had posterior reconstruction (group 2), and 77 had posterior reconstruction with total anatomic restoration (group 3). After 1 week, 24.3% of the patients in group 1 (18/74), 31.8% in group 2 (28/88), and 45.8% in group 3 (33/72) were continent (P= .02). One month after the surgery, continence rates for groups 1, 2, and 3 were 56.7, 67, and 75%, respectively (0.065). After 6 and 12 months, continence rates for groups 1, 2, and 3 were 72.9 and 87.8%, 81.8 and 89.7%, and 84.7 and 91.6%, respectively (P= .178 and .7484).
  
  
  CONCLUSIONS
  Anatomic restoration improves continence rates in the early period after RALRP. Even though other parameters were higher in the total restoration group, immediate continence (at 1 week) was significantly better.
authors: Department of Urology, Bakirkoy Dr. Sadi Konuk Teaching and Research Hospital, Istanbul, Turkey.
authors: Volkan
authors: V
authors: Tugcu
authors: Department of Urology, Bakirkoy Dr. Sadi Konuk Teaching and Research Hospital, Istanbul, Turkey.
authors: Nevzat Can
authors: NC
authors: Sener
authors: Department of Urology, Bakirkoy Dr. Sadi Konuk Teaching and Research Hospital, Istanbul, Turkey.
authors: Selcuk
authors: S
authors: Sahin
authors: Department of Urology, Medicana Beylikduzu International Hospital, Istanbul, Turkey.
authors: Cuneyd
authors: C
authors: Sevinc
authors: Department of Urology, Bakirkoy Dr. Sadi Konuk Teaching and Research Hospital, Istanbul, Turkey.
authors: Mithat
authors: M
authors: Eksi
authors: Department of Urology, Bakirkoy Dr. Sadi Konuk Teaching and Research Hospital, Istanbul, Turkey.
authors: Abdullah Hizir
authors: AH
authors: Yavuzsan
authors: Department of Urology, Bakirkoy Dr. Sadi Konuk Teaching and Research Hospital, Istanbul, Turkey.
authors: Ali Ihsan
authors: AI
authors: Tasci
mesh_terms: D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D014554:Urination / Q000502:physiology*
keywords: Continence; Reconstruction; Robot-assisted laparoscopic radical prostatectomy