The role of preserving the inner sphincter mechanism and the bladder neck in the early achieving urine continence when performing radical retropubic prostatectomy

Ivchev, Jovan and Stojanoski, Ivica and Chipurovski, Igor (2017) The role of preserving the inner sphincter mechanism and the bladder neck in the early achieving urine continence when performing radical retropubic prostatectomy. MEDICUS, 22 (1). pp. 15-20. ISSN 1409-6366 1

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Abstract

Objective: To assess the effect of preserving the internal sphincter on urine continence in patients who have gone
through radical prostatectomy due to prostate cancer.
Materials and methods: Open retropubic prostatectomy has been performed on 69 patients in our Urology
department, of whom 44 patients were treated with careful preservation of the internal sphincter mechanism on
the bladder neck, and a control group of 25 patients who didn’t have preserved internal sphincter. Retrospectively,
we used the standardized international questionnaires, ICIQ-UI-SF and IIEF-5, which were translated and adapted.
All of the patients were operated in the period 2014-2015.
Results: Patients who had preserved inner sphincter mechanism and bladder neck during their radical
prostatectomy, achieved continence much sooner, but the rate of continence in both groups after 12 months
remained unchanged. The grade of incontinence till the 9-th month postoperatively was evidently lower in the
examined group. The rate of anastomotic stricture and erectile dysfunction remained unchanged.
Conclusion: The remains of the internal sphincter makes passive closing mechanism that helps the continence in
the patients till the distal sphincter takes over the control which happens much later in the postoperative period.
Key words: Incontinence, radical prostatectomy, inner sphincter

Item Type:	Article
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Ivica Stojanoski
Date Deposited:	19 Feb 2024 12:00
Last Modified:	19 Feb 2024 12:00
URI:	https://eprints.ugd.edu.mk/id/eprint/33664

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