Trial to Compare Urinary Continence Recovery After Robotic Radical Prostatectomy With or Without Rhabdosphincter Reconstruction.

Prospective Randomized Controlled Trial to Compare Early Urinary Continence Recovery After Robotic Assisted Radical Prostatectomy With or Without Posterior Rhabdosphincter Reconstruction.

This is a prospective randomized controlled trail to assess early urinary continence recovery rates after robotic assisted radical prostatectomy when a posterior rhabdosphincter reconstruction is performed or not. A hundred forty-six patients with clinically localized and histological confirmed prostate cancer will be enrolled. Continence recovery is defined in the present study as declared urinary continence (absence of incontinence episodes) in the physician interview as no pad use. Continence rates will be explored also by EPIC, ICIQ-SF, IPSS questionnaires 1, 6 and 12 months after the procedure. The sexual function as the secondary objective will be assessed by SHIM questionnaire.

Inclusion Criteria:

• Histological confirmation of prostate cancer
• Localized or locally advanced prostate cancer
• Informed consent signed

Exclusion Criteria:

• Presence of urinary incontinence prior to the procedure
• Previous radiation therapy of the prostate or pelvis
• Presence of any prostatic surgery prior to the procedure
• Prior medical history of psychiatric diseases or drug addiction
• Any condition that contraindicates a radical prostatectomy