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Inicio Actas Urológicas Españolas (English Edition) Radical retropubic prostatectomy: Preservation of urinary continence
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Vol. 44. Issue 10.
Pages 674-681 (December 2020)
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Vol. 44. Issue 10.
Pages 674-681 (December 2020)
Original article
Radical retropubic prostatectomy: Preservation of urinary continence
La prostatectomía radical retropúbica: preservación de la continencia urinaria
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F. Herranz-Amo
Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, Spain
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Abstract
Objective

Historical review of procedures and maneuvers described in the literature to preserve-increase urinary continence after retropubic prostatectomy.

Material and method

Review of the original articles on the design of maneuvers for the preservation of urinary continence.

Results

Numerous maneuvers have been described attempting to preserve-increase urinary continence after prostatectomy. They can be grouped into preservation of puboprostatic ligaments, bladder neck, striated sphincter or trigonal innervation, construction of a neourethra, suspension of the anastomosis or the dorsal venous complex and intussusception of the bladder neck.

Conclusion

There is no ideal maneuver for preserving-increasing urinary continence after retropubic prostatectomy, as there is no well-conducted work with any of these techniques that confirm their efficacy.

Keywords:
Prostate cancer
Radical prostatectomy
Urinary continence
History
Resumen
Objetivo

Revisión histórica de los procedimientos y maniobras descritos en la literatura para preservar o aumentar la continencia urinaria después de la prostatectomía retropúbica.

Material y método

Revisión de los artículos originales sobre el diseño de maniobras para la preservación de la continencia urinaria, fundamentalmente.

Resultados

Se han descrito numerosas maniobras para intentar preservar o aumentar la continencia urinaria después de la prostatectomía. Se pueden agrupar en: preservación de los ligamentos puboprostáticos, del cuello vesical, del esfínter estriado o de la inervación del trígono, construcción de una neouretra, suspensión de la anastomosis o del complejo venoso dorsal e intuspección del cuello vesical.

Conclusión

No existe la maniobra ideal para intentar preservar o aumentar la continencia urinaria después de la prostatectomía retropúbica debido a que no existen trabajos bien elaborados con ninguna de estas técnicas para confirmar su eficacia.

Palabras clave:
Cáncer de próstata
Prostatectomía radical
Continencia urinaria
Historia

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