In this article, the authors examine the effect of a bladder sling (created using a single suspending Vicryl suture) on the early return of continence after robotic prostatectomy. The study was a well-devised blinded prospective randomized study, involving 27 patients in the sling group and 30 patients in the control group. All patients had puboprostatic preservation and double-layered posterior rhabdosphincter reconstruction. For assessing continence, the study has included both subjective and objec-tive measures. The key findings of the study are observed at 4 weeks. Subjectively (Expanded Prostate Cancer Index Composite-Urinary Incontinence and International Consultation on Incontinence Questionnaire-Short Form) patients in the sling group have a better functional outcome at 4 weeks. The authors confirmed this using a 1-hour pad test.
展开▼
