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Abstract

Abstract Title

Comparison of urinary continence rates between three different vesicourethral anastomosis procedures in robotic-assisted radical prostatectomy: Simple anastomosis with barbed suture, tennis-racket bladder reconstruction, and Van Velthoven anastomosis

Presentation Type

Podium Abstract

Manuscript Type

Clinical Research

Abstract Category *

Novel Advances: Robotic Surgery

Author's Information

Number of Authors (including submitting/presenting author) *

No more than 10 authors can be listed (as per the Good Publication Practice (GPP) Guidelines).
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Co-author 1

Yiwei Su thelegendSEW@gmail.com Taipei City Hospital Ren Ai branch Department of Surgery, Division of Urology Taipei Taiwan *

Co-author 2

Thomas Y. Hsueh DAJ53@tpech.gov.tw Taipei City Hospital Ren Ai branch Department of Surgery, Division of Urology Taipei Taiwan - National Yang Ming Chiao Tung University School of Medicine, Department of Urology Taipei Taiwan

Co-author 3

Shu-Wen Li DAX64@tpech.gov.tw Taipei City Hospital Ren Ai branch Department of Surgery, Division of Urology Taipei Taiwan -

Co-author 4

Andy C. Huang DAM33@tpech.gov.tw Taipei City Hospital Ren Ai branch Department of Surgery, Division of Urology Taipei Taiwan - Taipei Medical University Hospital Department of Urology Taipei Taiwan

Co-author 5

Kuo-Wei Kao DBA75@tpech.gov.tw Taipei City Hospital Ren Ai branch Department of Surgery, Division of Urology Taipei Taiwan -

Co-author 6

Yu-Wei Lai DAI77@tpech.gov.tw Taipei City Hospital Ren Ai branch Department of Surgery, Division of Urology Taipei Taiwan -

Co-author 7

Yi-Jiun Hsiao DAA24@tpech.gov.tw Taipei City Hospital Ren Ai branch Department of Surgery, Division of Urology Taipei Taiwan -

Co-author 8

Shiou-Sheng Chen DAB67@tpech.gov.tw Taipei City Hospital Ren Ai branch Department of Surgery, Division of Urology Taipei Taiwan -

Co-author 9

Allen W. Chiu DAI80@tpech.gov.tw Taipei City Hospital Ren Ai branch Department of Surgery, Division of Urology Taipei Taiwan - National Yang Ming Chiao Tung University School of Medicine, Department of Urology Taipei Taiwan Shin Kong Wu Ho-Su Memorial Hospital Division of Urology, Department of Surgery Taipei Taiwan

Co-author 10

Co-author 11

Co-author 12

Co-author 13

Co-author 14

Co-author 15

Co-author 16

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Co-author 20

Abstract Content

Introduction

Robotic-assisted radical prostatectomy (RARP) is the current gold standard treatment for early-stage prostate cancer. The most common side effect of RARP is urinary incontinence. Therefore, many different surgical techniques have been developed in recent years to improve urinary continence rates. Our study aimed to compare three different techniques of vesicourethral anastomosis in robotic-assisted radical prostatectomy: simple anastomosis with simple anastomosis with barbed suture, tennis-racket bladder reconstruction, and Van Velthoven anastomosis.

Materials and Methods

We recruited patients who underwent RARP for prostate cancer at our institute between January 2021 and March 2023. A total of 81 patients were included. Simple anastomosis with barbed suture was defined as using 3-4 interrupted barbed sutures to perform the anastomosis. Tennis-racket bladder reconstruction was defined as using Vicryl sutures for bladder reconstruction, combined with Van Velthoven anastomosis. Van Velthoven anastomosis was defined as using one bidirectional barbed suture for both clockwise and counterclockwise anastomosis. We compared patient characteristics, surgical techniques, and postoperative urinary continence rates between the groups. Continuous variables were assessed for normality using the Student's t-test, while categorical variables were analyzed with the chi-squared test. Statistical analyses were performed using IBM SPSS software, with p < 0.05 considered statistically significant.

Results

There were no significant differences in patient characteristics between the groups. We found that both tennis-racket bladder reconstruction, and Van Velthoven anastomosis showed better urinary continence rates than simple anastomosis with barbed sutures. However, there was no significant difference between the two groups.

Conclusions

Both tennis-racket bladder reconstruction, and Van Velthoven anastomosis showed better urinary continence rates than simple anastomosis with barbed sutures, while there was no difference between the two groups. Further investigation is crucial.

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