Re: Finley et al.: Hypothermic nerve-sparing radical prostatectomy: rationale, feasibility, and effect on early continence. (Urology 2009;73:691-696).

摘要

Finley et al.report on an interesting nuance to robotic radical prostatectomy. Postulating that cooling the prostate and periprostatic tissues would decrease postoperative inflammation, they examined the effect of such cooling on the recovery of urinary continence. The surgeons used a combination of an endorectal cooling balloon and local irrigation with cold saline to cool the prostate to 25 deg C. Although they did not prove that this decreased inflammation, they did find that 88% of patients undergoing the hypothermic procedure were pad free at 3 months compared with 69% of the historic controls. The return of continence was significantly quicker (median 39 days) in the "cool"(ed) group.