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Impact of Posterior Tibial Nerve Stimulation on Early Continence Following Extraperitoneal Laparoscopic Radical Prostatectomy With Three Trocars.
Neurourol Urodyn
January 2025
Department of Urology, School of Medicine, Sanko University, Gaziantep, Turkey.
Aim: Posterior tibial nerve stimulation (PTNS) might stimulate the sacral nerves and lead to work pelvic floor muscles. We evaluated to effects of PTNS on continence results after extraperitoneal laparoscopic radical prostatectomy (eLRP) with three trocars during early post operative period.
Methods: Prospectively recorded data of eLRP with three trocars was retrospectively reviewed for continence results between January 2017 and April 2024.
Urinary continence outcomes after robot-assisted laparoscopic radical prostatectomy: Significance of anterior reconstruction.
Int J Urol
December 2024
Department of Urology, Yamagata University Faculty of Medicine, Yamagata, Yamagata Prefecture, Japan.
Objective: Urinary continence after radical prostatectomy is a crucial aspect of patient quality of life. The aim of this study was to identify the factors influencing urinary continence after robot-assisted laparoscopic radical prostatectomy, focusing on the role of anterior reconstruction.
Methods: We collected clinical data from 375 patients at a single institution.
Nerve-sparing techniques in robot-assisted radical prostatectomy - anatomical approach.
Expert Rev Med Devices
December 2024
Department and Chair of Urology and Andrology, Ludwik Rydygier Collegium Medicum, Nicolaus Copernicus University, Bydgoszcz, Poland.
Introduction: Nerve-sparing (NS) techniques in robot-assisted radical prostatectomy (RARP) are foundational to preserving sexual function and urinary continence in prostate cancer (PCa) patients.
Areas Covered: This article aims to classify nerve-sparing (NS) techniques in RARP based on an anatomical approach to the prostate. We have identified three main NS approaches in RARP: anterior, lateral, and posterior.
Article Synopsis
- The Da Vinci robotic platforms have evolved significantly over the last two decades, leading to advancements in surgical techniques and technology used in robotic-assisted surgery, including the introduction of the new Da Vinci 5 model.
- A video compilation was created to compare the Da Vinci 5 and Da Vinci Xi during radical prostatectomy, highlighting the technical improvements and modifications of the new platform.
- The surgical technique remains consistent with previous approaches, emphasizing the steps involved in a radical prostatectomy using the Da Vinci 5, such as anterior bladder neck access and posterior dissection.
Analysis of the Clinical Value of Laparoscopic Sacrocolpopexy to Support the Posterior Compartment in Women with Multicompartment Prolapse Including Rectocele.
J Clin Med
August 2024
Department of Urogynecology, Women's Hospital, Cantonal Hospital of Lucerne, Spitalstrasse, 6000 Lucerne, Switzerland.
: Laparoscopic sacrocolpopexy is regarded as the gold standard treatment for apical or multicompartment prolapse, predominantly with anterior compartment descent. However, the optimal surgical approach for concurrent rectocele is still debated. The aim of this study was to evaluate the effectiveness of nerve-sparing laparoscopic sacrocolpopexy in managing multicompartment prolapse with concurrent rectocele (≥stage II), analyzing the anatomical outcomes, the necessity for concomitant or subsequent posterior repair, and the impact on bowel function in women undergoing surgery.
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