TY - JOUR
T1 - Recovery of urinary continence after radical prostatectomy
AU - Capogrosso, Paolo
AU - Sanchez-Salas, Rafael
AU - Salonia, Andrea
AU - Cathala, Nathalie
AU - Mombet, Annick
AU - Sivaraman, Arjun
AU - Barret, Eric
AU - Montorsi, Francesco
AU - Cathelineau, Xavier
N1 - Publisher Copyright:
© 2016 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2016/10/2
Y1 - 2016/10/2
N2 - Introduction: In the era of minimally-invasive surgery, urinary incontinence (UI) after radical prostatectomy (RP) still represents a troublesome issue for a considerable rate of patients. Factors associated with the risk of post-RP UI, need to be carefully assessed throughout the overall clinical management process thus including the pre-operative, intra-operative and post-operative setting. Areas covered: This review analyses current published evidences regarding clinical and surgical aspects associated with urinary continence (UC) recovery after RP. A careful evaluation of patient’s clinical characteristics should be carried out before surgery in order to properly counsel the patients regarding the risk of UI. In the last two decades, the advent of robotic surgery has led to an overall improvement of functional outcomes after RP, thanks to the development of different surgical strategies based on either the ‘preservation’ or the ‘reconstruction’ of the anatomical elements responsible for urinary continence. Finally, several therapeutic strategies including either a conservative approach, or pharmacological and surgical treatments, should be carefully considered for the post-operative management of UI. Expert commentary: A comprehensive pre-operative patient’s clinical assessment, along with a proper and well-conducted surgical procedure and an effective post-operative care management are essential element to achieve a high probability of UC recovery.
AB - Introduction: In the era of minimally-invasive surgery, urinary incontinence (UI) after radical prostatectomy (RP) still represents a troublesome issue for a considerable rate of patients. Factors associated with the risk of post-RP UI, need to be carefully assessed throughout the overall clinical management process thus including the pre-operative, intra-operative and post-operative setting. Areas covered: This review analyses current published evidences regarding clinical and surgical aspects associated with urinary continence (UC) recovery after RP. A careful evaluation of patient’s clinical characteristics should be carried out before surgery in order to properly counsel the patients regarding the risk of UI. In the last two decades, the advent of robotic surgery has led to an overall improvement of functional outcomes after RP, thanks to the development of different surgical strategies based on either the ‘preservation’ or the ‘reconstruction’ of the anatomical elements responsible for urinary continence. Finally, several therapeutic strategies including either a conservative approach, or pharmacological and surgical treatments, should be carefully considered for the post-operative management of UI. Expert commentary: A comprehensive pre-operative patient’s clinical assessment, along with a proper and well-conducted surgical procedure and an effective post-operative care management are essential element to achieve a high probability of UC recovery.
KW - Urinary incontinence
KW - prostate cancer
KW - radical prostatectomy
KW - robotic surgery
KW - urinary continence recovery
UR - http://www.scopus.com/inward/record.url?scp=84988826407&partnerID=8YFLogxK
U2 - 10.1080/14737140.2016.1233818
DO - 10.1080/14737140.2016.1233818
M3 - Review article
C2 - 27636115
AN - SCOPUS:84988826407
SN - 1473-7140
VL - 16
SP - 1039
EP - 1052
JO - Expert Review of Anticancer Therapy
JF - Expert Review of Anticancer Therapy
IS - 10
ER -