Abstract
An: 2017, Nr.2, Articol Nr. 12
Title: 

ANATOMICAL PARTICULARITIES OF RADICAL RETROPUBIC PROSTATECTOMY WITH SUBURETHRAL DEFERENT SLING

Authors: 

      C. Buzlea - University of Oradea, Faculty of Medicine and Pharmacy, Morphological Department; County Emergency Hospital
      Camelia Buzlea - University of Oradea, Faculty of Medicine and Pharmacy, Physiology Department; Municipal Hospital “Dr. Gavril Curteanu” Oradea
      Daniela Rahotă - University of Oradea, Faculty of Medicine and Pharmacy, Morphological Department
      F. Bodog, A. Maghiar - University of Oradea, Faculty of Medicine and Pharmacy, Surgical Department
      Gh. Bumbu - University of Oradea, Faculty of Medicine and Pharmacy, Urology Department
      ANATOMICAL PARTICULARITIES OF RADICAL RETROPUBIC PROSTATECTOMY WITH SUBURETHRAL DEFERENT SLING (Abstract): Introduction. Radical prostatectomy is the intervention of choice in prostate adenocarcinoma. With still a few drawbacks that over time personalities of urological surgery tried to diminish. Among the possible postoperative side effects there are two main remember: loss of sexual function and presence of urinary incontinence. Objectives. In this study, we tried to implement a new method that would assist and benefit the patient in fighting urinary incontinence after radical prostatectomy. Materials and methods. We conducted a prospective study of 12 patients with localized stage prostate adenocarcinoma nominated for practicing radical surgery (radical retropubic prostatectomy) treated at Oradea Urology Clinic between January 2016 - February 2017 to which a suburethral suspension made of duct deferens (male sling ) was mounted, labor practiced at the same operative time with basic surgical intervention. Results. Postoperative information has been collected during hospitalization and controls at 1-3-6 months. Foley type urethro-vesical catheter was suppressed approx. at 2-3 weeks after surgery. The number of pads used daily, a week after the urethro-vesical catheter suppression (1 month after surgery) was reduced to 0-1 in 9 patients (75%) and 2-3 in 3 patients (25%). Conclusions. Practicing in the same operative time the radical retropubic prostatectomy / “native” tissue suburethral suspension made up of duct deferens anchored to pubic bone, as it is successfully practiced in the Oradea Urology Clinic seems to be a beneficial surgical procedure in combating postoperative urinary incontinence at men.
Key words: RADICAL PROSTATECTOMY, MALE URINAR INCONTINENCE, MALE SLING, DEFERENT DUCTS
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