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Techniques to Improve Urinary Continence Following Robot-Assisted Radical Prostatectomy

  • Mona Yezdani
  • Pierre Mendoza
  • Saurabh Sharma
  • David I. LeeEmail author
Chapter

Abstract

Robot-assisted radical prostatectomy (RARP) has become the most common surgical procedure for prostate cancer with nearly 80% of prostatectomies performed robotically in a given year [1]. RARP has been shown to have a quicker recovery time and, given the better visualization and dexterity, may allow for improved functional and oncologic outcomes as well.

Post-prostatectomy incontinence, a bothersome complication for both the open and robotic procedure, has a tremendous impact on quality of life. Efforts to improve postoperative incontinence have led to many modifications in the surgical technique as well as preoperative and postoperative manipulations. This chapter highlights the various interventions described in the literature geared toward improving urinary incontinence post-RARP.

Keywords

Robotic prostatectomy Stress urinary incontinence Detrusor instability Nerve-sparing prostatectomy Anastomosis Bladder neck sparing Pelvic floor muscle training Male urethral sling Artificial urethral sling 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Mona Yezdani
    • 1
  • Pierre Mendoza
    • 2
  • Saurabh Sharma
    • 3
  • David I. Lee
    • 2
    Email author
  1. 1.Christiana Medical CenterWilmington, DEUSA
  2. 2.Department of UrologyUniversity of Pennsylvania HospitalPhiladelphiaUSA
  3. 3.Mather Memorial HospitalPort JeffersonUSA

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