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      Posterior Rhabdosphincter Reconstruction During Robot-assisted Radical Prostatectomy: Critical Analysis of Techniques and Outcomes

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      Urology

      Elsevier BV

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          Abstract

          Many centers have recently implemented posterior rhabdosphincter reconstruction (PRR) into robot-assisted radical prostatectomy (RARP) with the objective of earlier continence recovery. We comprehensively review the anatomic and functional changes occurring post prostatectomy along with the reconstructive techniques and published outcomes of PRR. Several case control studies show a better continence rate within the first 3 months, whereas the only randomized control trial presents a conflicting conclusion. Unfortunately, all reported studies lack uniform surgical technique, continence definition, and measures, making comparison difficult. Although initial results appear favorable, the true continence benefit of PRR remains debatable and requires further research. Copyright © 2010. Published by Elsevier Inc.

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          Author and article information

          Journal
          Urology
          Urology
          Elsevier BV
          00904295
          September 2010
          September 2010
          : 76
          : 3
          : 734-741
          Article
          10.1016/j.urology.2010.01.073
          20579697
          © 2010

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