Urinary continence recovery after radical prostatectomy - anatomical/reconstructive and nerve-sparing techniques to improve outcomes

Christian Pavlovich, Bernardo Rocco, Sasha C. Druskin, John W. Davis

Research output: Contribution to journalArticle

Abstract

In an editorial board-moderated debate format, two experts in prostate cancer surgery are challenged with presenting the key strategies in radical prostatectomy that improve urinary functional outcomes. Dr Bernardo Rocco was tasked with arguing the facts that support the anatomical preservation and reconstruction steps that improve urinary continence. Drs Christian Pavlovich and Sasha Druskin were tasked with arguing the facts supporting neurovascular bundle and high anterior release surgical planes that improve urinary continence. Associate Editor John Davis moderates the debate, and outlines the current status of validated patient questionnaires that can be used to evaluate urinary continence, and recent work that allows measuring what constitutes a 'clinically significant' difference that either or both of these surgical techniques could influence. A review of raw data from a publication from Dr Pavlovich's team demonstrates how clinically relevant differences in patient-reported outcomes can be correlated to technique. A visual atlas is presented from both presenting teams, and Dr Davis demonstrates further reproducibility of technique. A linked video on this concept is available as a supplementary file.

Original languageEnglish (US)
JournalBJU International
DOIs
StateAccepted/In press - 2017

Fingerprint

Atlases
Prostatectomy
Publications
Prostatic Neoplasms
Patient Reported Outcome Measures
Surveys and Questionnaires

Keywords

  • #ProstateCancer
  • Musculofascial plate reconstruction
  • Nerve-sparing prostatectomy
  • Patient-reported outcomes
  • Radical prostatectomy
  • Robot-assisted prostatectomy
  • Urinary continence

ASJC Scopus subject areas

  • Urology

Cite this

Urinary continence recovery after radical prostatectomy - anatomical/reconstructive and nerve-sparing techniques to improve outcomes. / Pavlovich, Christian; Rocco, Bernardo; Druskin, Sasha C.; Davis, John W.

In: BJU International, 2017.

Research output: Contribution to journalArticle

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