[Aponeurotic suspension of a vesico-urethral anastomosis after radical prostatectomy].

Abstract

In order to try to enhance postoperative continence rates after radical retropubic prostatectomy, a fascial sling suspension was performed at the time of the operation in 75 patients (group 2). Postoperative continence was compared to that of the 63 previous patients (group 1). Complete continence rate were 43 of 75 (57%) in group 2 and 17 of 63 (27%) in group 1 (p = 0.0003) at 1 month, 57 of 75 (76%) in group 2 and 36 of 63 (57%) in group 1 (p = 0.0149) at 3 months, 65 of 75 (87%) in group 2 and 46 of 63 (73%) in group 1 at 6 months, 69 of 75 (92%) in group 2 and 50 of 63 (79%) in group 1 at 9 months, and 72 of 75 (96%) in group 2 and 51 of 63 (81%) in group 1 at 12 months. Fascial sling suspension resulted in an earlier return and more complete recovery of urinary continence in men undergoing radical prostatectomy.