MP61-06 IMPACT OF POSTERIOR RECONSTRUCTION URETHROVESICAL ANASTOMOSIS ON 5-YEAR INCIDENCE OF UNDERGOING CONTINENCE IMPROVING PROCEDURES AFTER ROBOT-ASSISTED RADICAL PROSTATECTOMY: A RANDOMIZED CONTROLLED TRIAL

摘要: INTRODUCTION AND OBJECTIVEPosterior reconstruction of the Denonvilliers’ musculofascial plate also known as the Rocco stitch, have shown mixed results on early return to urinary continence, yet little data exist on long-term outcomes. The objective of this study was to evaluate the long-term need for incontinence improving procedures post robot-assisted radical prostatectomy (RARP) comparing posterior reconstruction urethrovesical anastomosis (PR-UVA) versus conventional urethrovesical anastomosis (C-UVA).METHODSConsecutive patients with clinically localized prostate cancer undergoing RARP were randomized to PR-UVA or C-UVA groups. Return to continence outcomes were assessed using a validated questionnaire (Expanded Prostate Cancer Index Composite [EPIC] Short Form-26) at baseline, 2, 3, 4, 6, 8, and 12-month follow-up. Five-year outcomes were assessed by frequency of …