[Ralp and Rocco stitch: original technique]
| Autor: | Gabriele Cozzi, Davide Abed El Rahman, Francesco Rocco, Bernardo Rocco, Matteo Giulio Spinelli, P. Acquati, Angelica Grasso, Michele Talso, Giancarlo Albo, A. Maggioni, Daniela Varisco |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Urologic Surgical Procedures Male Urethral rhabdosphincter medicine.medical_treatment Urinary incontinence Urologic Surgical Procedure Erectile Dysfunction Urethra Medicine Humans Prostatectomy Evidence-Based Medicine business.industry Prostatic Neoplasms General Medicine Plastic Surgery Procedures Surgical Injury Surgery Neck of urinary bladder medicine.anatomical_structure Treatment Outcome Urinary Incontinence Rhabdosphincter medicine.symptom business Algorithm |
| Zdroj: | Urologia. 78 |
| ISSN: | 1724-6075 |
| Popis: | Incontinence and impotence are the two chief drawbacks of radical prostatectomy (RP). Incontinence is the most relevant for most of the patients, even if there is high variability in terms of prevalence and definition of continence. Incontinence seems the result of several factors, the most important being the surgical injury of some structures and the biomechanical instability associated with vesicourethral anastomosis. In the posterior urethra, which guarantees the continence mechanism, two functionally independent regions can be recognized: the proximal and the distal. The proximal region can be identified with the bladder neck, while the distal region is the rhabdosphincter urethrae. Concerning the distal functional region, two kinds of strategy can be applied: the preservation of puboprostatic ligaments and urethral attachments, or the reconstruction of the urethral rhabdosphincter, which can be anterior, posterior or total. We describe our technique of choice for posterior reconstruction, first described by Rocco and then modified by Patel et al. |
| Databáze: | OpenAIRE |
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