Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy

Chen Jiajun; Zhu Zaisheng; Shi Hongqi; Zhou Pengfei; Xu Lizhen; Zhou Yibo; Zhu Yiyi

doi:doi:10.11648/j.js.20190703.14

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Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy

Chen Jiajun, Zhu Zaisheng, Shi Hongqi, Zhou Pengfei, Xu Lizhen, Zhou Yibo, Zhu Yiyi

Published in Journal of Surgery (Volume 7, Issue 3)

Received: 10 December 2018 Accepted: 22 December 2018 Published: 15 June 2019

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Abstract

Urinary incontinence and Erectile function are two hot issues after radical prostatectomy. This study aims to explore the application and curative effect of “pubovesical complex preserving technique for intrafascial laparoscopic radical prostatectomy (PPLRP)”. Methods: This was a retrospective study of 200 patients who underwent laparoscopic radical prostatectomy (LRP) from January 2011 to May 2018. Results: During the study period, we collected 68 patients with PPLRP in group A, 46 patients with conventional intrafascial LRP in group B and 86 patients with interfascial LRP in group C, respectively. Three groups had no difference in terms of Preoperative age, Clinical stage, Prostate-specific antigen (PSA) value, Gleason score at biopsy and Preoperative good potency (IIEF-5 score) (P>0.05). There was no difference between the three groups in terms of operative time, intraoperative blood loss, time of catheter retain, postoperative stay and histologic status. All groups had similar PSM (positive surgical margin, PSM) rate. Continence rates at immediately after catheter removal, 1,3 and 6 months: 68% (46/68),85% (58/68),93% (63/68) and 100% (68/68) in group A; and 63% (29/46),80% (37/46),89% (41/46) and 96% (44/46) in group B; and 22% (19/63),49% (42/63),72% (62/63) and 84% (72/63) in group C. Regarding sexual function: No differences were found in the three groups in potency (IIEF-5 score). Baseline IIEF-score reached 50%,35% and 21% respectively at postoperative 6 months. Biochemical recurrence-free survival at 3 years was 79.3%,76.3% and 76.4% in A, B and C group, respectively. Conclusions: The PVC preserving technique for LRP provides early recovery from incontinence, faster recovery of sexual function preoperative levels. There is no adverse effect on the oncological outcome in the selective prostate cancer. It is an ideal way of nerve-sparing LRP.

Published in	Journal of Surgery (Volume 7, Issue 3)
DOI	10.11648/j.js.20190703.14
Page(s)	67-73
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Laparoscopic Surgery, Prostate Cancer, Intrafascial Nerve-Sparing, Interfascial Nerve-Sparing, Erectile Function, Urinary Incontinence

References

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APA Style

Chen Jiajun, Zhu Zaisheng, Shi Hongqi, Zhou Pengfei, Xu Lizhen, et al. (2019). Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy. Journal of Surgery, 7(3), 67-73. https://doi.org/10.11648/j.js.20190703.14

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ACS Style

Chen Jiajun; Zhu Zaisheng; Shi Hongqi; Zhou Pengfei; Xu Lizhen, et al. Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy. J. Surg. 2019, 7(3), 67-73. doi: 10.11648/j.js.20190703.14

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AMA Style

Chen Jiajun, Zhu Zaisheng, Shi Hongqi, Zhou Pengfei, Xu Lizhen, et al. Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy. J Surg. 2019;7(3):67-73. doi: 10.11648/j.js.20190703.14

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@article{10.11648/j.js.20190703.14,
  author = {Chen Jiajun and Zhu Zaisheng and Shi Hongqi and Zhou Pengfei and Xu Lizhen and Zhou Yibo and Zhu Yiyi},
  title = {Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy},
  journal = {Journal of Surgery},
  volume = {7},
  number = {3},
  pages = {67-73},
  doi = {10.11648/j.js.20190703.14},
  url = {https://doi.org/10.11648/j.js.20190703.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190703.14},
  abstract = {Urinary incontinence and Erectile function are two hot issues after radical prostatectomy. This study aims to explore the application and curative effect of “pubovesical complex preserving technique for intrafascial laparoscopic radical prostatectomy (PPLRP)”. Methods: This was a retrospective study of 200 patients who underwent laparoscopic radical prostatectomy (LRP) from January 2011 to May 2018. Results: During the study period, we collected 68 patients with PPLRP in group A, 46 patients with conventional intrafascial LRP in group B and 86 patients with interfascial LRP in group C, respectively. Three groups had no difference in terms of Preoperative age, Clinical stage, Prostate-specific antigen (PSA) value, Gleason score at biopsy and Preoperative good potency (IIEF-5 score) (P>0.05). There was no difference between the three groups in terms of operative time, intraoperative blood loss, time of catheter retain, postoperative stay and histologic status. All groups had similar PSM (positive surgical margin, PSM) rate. Continence rates at immediately after catheter removal, 1,3 and 6 months: 68% (46/68),85% (58/68),93% (63/68) and 100% (68/68) in group A; and 63% (29/46),80% (37/46),89% (41/46) and 96% (44/46) in group B; and 22% (19/63),49% (42/63),72% (62/63) and 84% (72/63) in group C. Regarding sexual function: No differences were found in the three groups in potency (IIEF-5 score). Baseline IIEF-score reached 50%,35% and 21% respectively at postoperative 6 months. Biochemical recurrence-free survival at 3 years was 79.3%,76.3% and 76.4% in A, B and C group, respectively. Conclusions: The PVC preserving technique for LRP provides early recovery from incontinence, faster recovery of sexual function preoperative levels. There is no adverse effect on the oncological outcome in the selective prostate cancer. It is an ideal way of nerve-sparing LRP.},
 year = {2019}
}

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TY  - JOUR
T1  - Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy
AU  - Chen Jiajun
AU  - Zhu Zaisheng
AU  - Shi Hongqi
AU  - Zhou Pengfei
AU  - Xu Lizhen
AU  - Zhou Yibo
AU  - Zhu Yiyi
Y1  - 2019/06/15
PY  - 2019
N1  - https://doi.org/10.11648/j.js.20190703.14
DO  - 10.11648/j.js.20190703.14
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 67
EP  - 73
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20190703.14
AB  - Urinary incontinence and Erectile function are two hot issues after radical prostatectomy. This study aims to explore the application and curative effect of “pubovesical complex preserving technique for intrafascial laparoscopic radical prostatectomy (PPLRP)”. Methods: This was a retrospective study of 200 patients who underwent laparoscopic radical prostatectomy (LRP) from January 2011 to May 2018. Results: During the study period, we collected 68 patients with PPLRP in group A, 46 patients with conventional intrafascial LRP in group B and 86 patients with interfascial LRP in group C, respectively. Three groups had no difference in terms of Preoperative age, Clinical stage, Prostate-specific antigen (PSA) value, Gleason score at biopsy and Preoperative good potency (IIEF-5 score) (P>0.05). There was no difference between the three groups in terms of operative time, intraoperative blood loss, time of catheter retain, postoperative stay and histologic status. All groups had similar PSM (positive surgical margin, PSM) rate. Continence rates at immediately after catheter removal, 1,3 and 6 months: 68% (46/68),85% (58/68),93% (63/68) and 100% (68/68) in group A; and 63% (29/46),80% (37/46),89% (41/46) and 96% (44/46) in group B; and 22% (19/63),49% (42/63),72% (62/63) and 84% (72/63) in group C. Regarding sexual function: No differences were found in the three groups in potency (IIEF-5 score). Baseline IIEF-score reached 50%,35% and 21% respectively at postoperative 6 months. Biochemical recurrence-free survival at 3 years was 79.3%,76.3% and 76.4% in A, B and C group, respectively. Conclusions: The PVC preserving technique for LRP provides early recovery from incontinence, faster recovery of sexual function preoperative levels. There is no adverse effect on the oncological outcome in the selective prostate cancer. It is an ideal way of nerve-sparing LRP.
VL  - 7
IS  - 3
ER  -

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Author Information

Chen Jiajun

Department of Urology, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
Zhu Zaisheng

Department of Urology, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
Shi Hongqi

Department of Urology, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
Zhou Pengfei

Department of Urology, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
Xu Lizhen

Department of Urology, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
Zhou Yibo

Department of Urology, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China
Zhu Yiyi

Department of Urology, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, China

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Plain Text BibTeX RIS

APA Style

Chen Jiajun, Zhu Zaisheng, Shi Hongqi, Zhou Pengfei, Xu Lizhen, et al. (2019). Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy. Journal of Surgery, 7(3), 67-73. https://doi.org/10.11648/j.js.20190703.14

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ACS Style

Chen Jiajun; Zhu Zaisheng; Shi Hongqi; Zhou Pengfei; Xu Lizhen, et al. Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy. J. Surg. 2019, 7(3), 67-73. doi: 10.11648/j.js.20190703.14

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AMA Style

Chen Jiajun, Zhu Zaisheng, Shi Hongqi, Zhou Pengfei, Xu Lizhen, et al. Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy. J Surg. 2019;7(3):67-73. doi: 10.11648/j.js.20190703.14

Copy | Download

@article{10.11648/j.js.20190703.14,
  author = {Chen Jiajun and Zhu Zaisheng and Shi Hongqi and Zhou Pengfei and Xu Lizhen and Zhou Yibo and Zhu Yiyi},
  title = {Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy},
  journal = {Journal of Surgery},
  volume = {7},
  number = {3},
  pages = {67-73},
  doi = {10.11648/j.js.20190703.14},
  url = {https://doi.org/10.11648/j.js.20190703.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190703.14},
  abstract = {Urinary incontinence and Erectile function are two hot issues after radical prostatectomy. This study aims to explore the application and curative effect of “pubovesical complex preserving technique for intrafascial laparoscopic radical prostatectomy (PPLRP)”. Methods: This was a retrospective study of 200 patients who underwent laparoscopic radical prostatectomy (LRP) from January 2011 to May 2018. Results: During the study period, we collected 68 patients with PPLRP in group A, 46 patients with conventional intrafascial LRP in group B and 86 patients with interfascial LRP in group C, respectively. Three groups had no difference in terms of Preoperative age, Clinical stage, Prostate-specific antigen (PSA) value, Gleason score at biopsy and Preoperative good potency (IIEF-5 score) (P>0.05). There was no difference between the three groups in terms of operative time, intraoperative blood loss, time of catheter retain, postoperative stay and histologic status. All groups had similar PSM (positive surgical margin, PSM) rate. Continence rates at immediately after catheter removal, 1,3 and 6 months: 68% (46/68),85% (58/68),93% (63/68) and 100% (68/68) in group A; and 63% (29/46),80% (37/46),89% (41/46) and 96% (44/46) in group B; and 22% (19/63),49% (42/63),72% (62/63) and 84% (72/63) in group C. Regarding sexual function: No differences were found in the three groups in potency (IIEF-5 score). Baseline IIEF-score reached 50%,35% and 21% respectively at postoperative 6 months. Biochemical recurrence-free survival at 3 years was 79.3%,76.3% and 76.4% in A, B and C group, respectively. Conclusions: The PVC preserving technique for LRP provides early recovery from incontinence, faster recovery of sexual function preoperative levels. There is no adverse effect on the oncological outcome in the selective prostate cancer. It is an ideal way of nerve-sparing LRP.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Application and Efficacy of Pubovesical Complex Preserving Technique During Laparoscopic Radical Prostatectomy
AU  - Chen Jiajun
AU  - Zhu Zaisheng
AU  - Shi Hongqi
AU  - Zhou Pengfei
AU  - Xu Lizhen
AU  - Zhou Yibo
AU  - Zhu Yiyi
Y1  - 2019/06/15
PY  - 2019
N1  - https://doi.org/10.11648/j.js.20190703.14
DO  - 10.11648/j.js.20190703.14
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 67
EP  - 73
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20190703.14
AB  - Urinary incontinence and Erectile function are two hot issues after radical prostatectomy. This study aims to explore the application and curative effect of “pubovesical complex preserving technique for intrafascial laparoscopic radical prostatectomy (PPLRP)”. Methods: This was a retrospective study of 200 patients who underwent laparoscopic radical prostatectomy (LRP) from January 2011 to May 2018. Results: During the study period, we collected 68 patients with PPLRP in group A, 46 patients with conventional intrafascial LRP in group B and 86 patients with interfascial LRP in group C, respectively. Three groups had no difference in terms of Preoperative age, Clinical stage, Prostate-specific antigen (PSA) value, Gleason score at biopsy and Preoperative good potency (IIEF-5 score) (P>0.05). There was no difference between the three groups in terms of operative time, intraoperative blood loss, time of catheter retain, postoperative stay and histologic status. All groups had similar PSM (positive surgical margin, PSM) rate. Continence rates at immediately after catheter removal, 1,3 and 6 months: 68% (46/68),85% (58/68),93% (63/68) and 100% (68/68) in group A; and 63% (29/46),80% (37/46),89% (41/46) and 96% (44/46) in group B; and 22% (19/63),49% (42/63),72% (62/63) and 84% (72/63) in group C. Regarding sexual function: No differences were found in the three groups in potency (IIEF-5 score). Baseline IIEF-score reached 50%,35% and 21% respectively at postoperative 6 months. Biochemical recurrence-free survival at 3 years was 79.3%,76.3% and 76.4% in A, B and C group, respectively. Conclusions: The PVC preserving technique for LRP provides early recovery from incontinence, faster recovery of sexual function preoperative levels. There is no adverse effect on the oncological outcome in the selective prostate cancer. It is an ideal way of nerve-sparing LRP.
VL  - 7
IS  - 3
ER  -

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