Early Urinary Continence After Radical Prostatectomy: Surgical Procedure and Anatomic Landmarks

Complete Puborectalis, Puboperinealis Muscle and Urethral Rhabdomyosphincter Preservation in Laparoscopic Radical Prostatectomy: Anatomic Landmarks to Achieving Early Urinary Continence

This study describes how to perform a correct prostatic apex and membranous urethra in order to preserve all anatomical elements that are necessary to achieve a very fast urinary continence after open/laparoscopic/robotic radical prostatectomy, avoiding positive surgical margins at this level.

This study describes a simple technical variation, aimed at the sparing of the muscle systems and neurovascular bundles in order to achieve high rates of urinary continence in the early postoperative period ( the first two months after surgery) in prostate cancer patients undergoing radical prostatectomy.

Inclusion Criteria:

• Age between 40 and 75 years
• A Body Mass Index lower than 35 Hg/m2
• Patients with organ-confined prostate cancer
• Signed informed consent

Exclusion Criteria:

• Contraindications for Laparoscopy