Improvement in early continence after introduction of periurethral suspension stitch in robotic prostatectomy
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ORIGINAL ARTICLE
Improvement in early continence after introduction of periurethral suspension stitch in robotic prostatectomy Erling Aarsæther1,2 · Marius Roaldsen1 · Tore Knutsen1 · Hiten R. Patel1,2 · Bård Soltun1 Received: 12 August 2020 / Accepted: 5 October 2020 © The Author(s) 2020
Abstract Early urinary incontinence remains a major source of morbidity for patients undergoing robotic prostatectomy. The purpose of the study was to determine whether the introduction of a suspension stitch would improve early urinary continence rates in patients undergoing robotic prostatectomy for localized prostate cancer at our department. We retrospectively reviewed patients undergoing robotic prostatectomy with either suspension (n = 119) or figure-of-eight (n = 48) stitching of the dorsal venous complex. The patients submitted EPIC-26 questionnaires before surgery and after 3 and 18 months, respectively. Logistic regression analysis was run to determine the effect of the suspension stitch, nerve-sparing, posterior reconstruction, prostate volume, age and body mass index on early continence rate. The odds ratio of experiencing urinary leaks was 2.1 times higher (95% CI 1.0–4.3) in the figure-of-eight stitch group compared to the suspension stitch group 3 months after surgery (p
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