Display options
Cite
Punnen S, Clint Cary K, Glass AS, et al. Autologous retro-pubic urethral sling: a novel, quick, intra-operative technique to improve continence after robotic-assisted radical prostatectomy. J Robot Surg. 2013;8(2):99-104doi: 10.1007/s11701-013-0432-1.
Punnen, S., Clint Cary, K., Glass, A. S., Cowan, J. E., & Carroll, P. R. (2014). Autologous retro-pubic urethral sling: a novel, quick, intra-operative technique to improve continence after robotic-assisted radical prostatectomy. Journal of robotic surgery, 8(2), 99-104. https://doi.org/10.1007/s11701-013-0432-1
Punnen, Sanoj, et al. "Autologous retro-pubic urethral sling: a novel, quick, intra-operative technique to improve continence after robotic-assisted radical prostatectomy." Journal of robotic surgery vol. 8,2 (2014): 99-104. doi: https://doi.org/10.1007/s11701-013-0432-1
Punnen S, Clint Cary K, Glass AS, Cowan JE, Carroll PR. Autologous retro-pubic urethral sling: a novel, quick, intra-operative technique to improve continence after robotic-assisted radical prostatectomy. J Robot Surg. 2014 Jun;8(2):99-104. doi: 10.1007/s11701-013-0432-1. Epub 2013 Aug 15. PMID: 27637518.
Copy Download .nbib Format: NLM
Share it on

J Robot Surg. 2014 Jun;8(2):99-104. doi: 10.1007/s11701-013-0432-1. Epub 2013 Aug 15.

Autologous retro-pubic urethral sling: a novel, quick, intra-operative technique to improve continence after robotic-assisted radical prostatectomy.

Journal of robotic surgery

Sanoj Punnen, K Clint Cary, Allison S Glass, Janet E Cowan, Peter R Carroll

Affiliations

  1. Department of Urology, UCSF Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, 1600 Divisadero St, Box 1695, San Francisco, 94143-1695, CA, USA. [email protected].
  2. Department of Urology, UCSF Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, 1600 Divisadero St, Box 1695, San Francisco, 94143-1695, CA, USA.

PMID: 27637518 DOI: 10.1007/s11701-013-0432-1

Abstract

After radical prostatectomy, many men may suffer from urinary incontinence, which can have detrimental effects on quality of life. We describe a novel technique using an autologous retro-pubic urethral sling placed at the time of robotic-assisted laparoscopic prostatectomy (RALP) and evaluate its impact on post-operative urinary continence. During 2011, 153 men who underwent sling placement at the time of RALP at a high-volume academic institution were compared to 78 men who did not undergo sling placement. The primary outcomes were time to one and no pads per day. The association between these outcomes and placement of a sling was assessed using Cox proportional hazards regression. Median follow-up was 26 weeks in those who had slings and 32.5 weeks in those who did not. Clinical and pathological characteristics were similar between the groups, with the exception that sling patients were older (p < 0.01) and underwent less nerve sparing (p < 0.01). Multivariate analysis showed that sling placement did not appear to have an effect on time to one (p = 0.24) or no pads per day (p = 0.20). Although the association between sling placement and early return of urinary continence did not reach statistical significance, there was a selection bias against the sling, since it was placed in men who were expected to have more difficulty regaining their continence. A randomized trial is needed to assess the true benefit of sling placement on urinary continence.

Keywords: Autologous; Incontinence; Retro-pubic sling; Robotic-assisted radical prostatectomy

References

  1. Eur Urol. 2007 Feb;51(2):433-40; discussion 440 - PubMed
  2. J Clin Oncol. 2012 Feb 10;30(5):513-8 - PubMed
  3. Urol Int. 2009;83(1):19-21 - PubMed
  4. J Urol. 2003 Aug;170(2 Pt 1):512-5 - PubMed
  5. Prog Urol. 2008 May;18(5):304-10 - PubMed
  6. Urology. 2005 Jun;65(6):1163-7 - PubMed
  7. J Urol. 2000 Jun;163(6):1767-70 - PubMed
  8. Urology. 2005 Nov;66(5 Suppl):83-94 - PubMed
  9. BJU Int. 2012 Feb;109(3):328-44 - PubMed
  10. BMC Urol. 2007 Feb 05;7:2 - PubMed
  11. JAMA. 2000 Jan 19;283(3):354-60 - PubMed
  12. Rev Urol. 2009 Summer;11(3):145-65 - PubMed
  13. Int J Urol. 2001 Apr;8(4):153-7 - PubMed
  14. Eur Urol. 2009 Sep;56(3):472-8 - PubMed
  15. Urology. 2007 Nov;70(5):950-5 - PubMed
  16. Can Urol Assoc J. 2008 Oct;2(5):536-9 - PubMed
  17. J Urol. 2010 Apr;183(4):1464-8 - PubMed

Publication Types