British journal of urology · 1995
Anterior bladder neck tube reconstruction at radical prostatectomy preserves functional urethral length--a comparative urodynamic study.
Клиническое исследованиеСравнительное исследованиеКонтролируемое клиническое исследованиеСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Connolly J A, Presti J C, Carroll P R
Аннотация
OBJECTIVE: To characterize the continence mechanism of anterior bladder neck tube reconstruction at the time of radical prostatectomy using urodynamic evaluation.
PATIENTS AND METHODS: Prospective pre- and post-operative urodynamic profiles were performed in patients receiving conventional posterior 'racket handle' closures (control group--eight patients) and those receiving anterior bladder neck tube reconstruction at radical prostatectomy (study group--nine patients). Bladder neck tube reconstruction was performed by constructing 2 cm anterior bladder neck tubes over 22 F catheters.
RESULTS: A significantly longer post-operative functional urethral length was demonstrated using urodynamic assessment in patients receiving an anterior bladder neck tube closure (4.6 vs 3.4 cm; P < 0.01).
CONCLUSION: The anterior bladder neck tube reconstruction may promote urinary continence in patients undergoing radical prostatectomy by preservation of functional urethral length.
PATIENTS AND METHODS: Prospective pre- and post-operative urodynamic profiles were performed in patients receiving conventional posterior 'racket handle' closures (control group--eight patients) and those receiving anterior bladder neck tube reconstruction at radical prostatectomy (study group--nine patients). Bladder neck tube reconstruction was performed by constructing 2 cm anterior bladder neck tubes over 22 F catheters.
RESULTS: A significantly longer post-operative functional urethral length was demonstrated using urodynamic assessment in patients receiving an anterior bladder neck tube closure (4.6 vs 3.4 cm; P < 0.01).
CONCLUSION: The anterior bladder neck tube reconstruction may promote urinary continence in patients undergoing radical prostatectomy by preservation of functional urethral length.