Angelo J. Cambio, Christopher P. Evans  European Urology 

Slides:



Advertisements
Similar presentations
Volume 64, Issue 5, Pages (November 2013)
Advertisements

The PSA Era is not Over for Prostate Cancer
Volume 51, Issue 4, Pages (April 2007)
R Migliari, D Pistolesi, M De Angelis  European Urology 
Peter Rehder, Christian Gozzi  European Urology 
Volume 69, Issue 3, Pages (March 2016)
The Origin of the Bone Scan as a Tumour Marker in Prostate Cancer
Volume 58, Issue 3, Pages (September 2010)
Volume 50, Issue 5, Pages (November 2006)
Volume 62, Issue 5, Pages (November 2012)
Albert Isidro, Assumpció Malgosa, Beatrice Huber  European Urology 
Volume 46, Issue 3, Pages (September 2004)
Volume 50, Issue 5, Pages (November 2006)
Open Retropubic Nerve-Sparing Radical Prostatectomy
Volume 57, Issue 6, Pages (June 2010)
Volume 52, Issue 1, Pages (July 2007)
Volume 62, Issue 2, Pages (August 2012)
Volume 53, Issue 5, Pages (May 2008)
Louis Spencer Krane, Mahendra Bhandari, James O. Peabody, Mani Menon 
Volume 64, Issue 6, Pages (December 2013)
Prostate Cancer Epidemic in Sight?
Volume 45, Issue 4, Pages (April 2004)
Volume 63, Issue 4, Pages e53-e56 (April 2013)
Volume 53, Issue 5, Pages (May 2008)
Volume 64, Issue 5, Pages (November 2013)
Volume 47, Issue 5, Pages (May 2005)
The Importance of Transurethral Resection in Managing Patients With Urothelial Cancer in the Bladder: Proposal for a Transurethral Resection of Bladder.
Nerve-Sparing Open Radical Retropubic Prostatectomy
A Systematic Review of Graft Augmentation Urethroplasty Techniques for the Treatment of Anterior Urethral Strictures  Altaf Mangera, Jacob M. Patterson,
Dirk De Ridder, Peter Rehder  European Urology Supplements 
Prostate Cancer Detection: A View of the Future
Pathophysiology of adult urinary incontinence
Volume 64, Issue 5, Pages (November 2013)
Volume 65, Issue 4, Pages (April 2014)
Low-risk Prostate Cancer: Identification, Management, and Outcomes
Volume 64, Issue 4, Pages (October 2013)
Volume 48, Issue 5, Pages (November 2005)
Volume 54, Issue 5, Pages (November 2008)
Volume 70, Issue 5, Pages (November 2016)
Volume 61, Issue 5, Pages (May 2012)
Counselling the Prostate Cancer Patient
Volume 64, Issue 1, Pages (July 2013)
Robotic-Assisted Laparoscopic Radical Cystoprostatectomy
Prostate Cancer Epidemic in Sight?
The PSA Era is not Over for Prostate Cancer
Volume 48, Issue 6, Pages (December 2005)
Two-Stage Transperineal Management of Posterior Urethral Strictures or Bladder Neck Contractures Associated with Urinary Incontinence after Prostate Surgery.
Volume 63, Issue 3, Pages (March 2013)
The Origin of the Bone Scan as a Tumour Marker in Prostate Cancer
How Can the Autonomic Nervous System Contribute to Urinary Continence Following Radical Prostatectomy? A “Boson-like” Conundrum  Declan G. Murphy, Anthony.
Open versus Laparoscopic Radical Prostatectomy
Volume 59, Issue 6, Pages (June 2011)
Shifting Paradigms for High-grade Prostatic Intraepithelial Neoplasia
The Inside-Out Transobturator Male Sling for the Surgical Treatment of Stress Urinary Incontinence After Radical Prostatectomy: Midterm Results of a Single-Center.
Paolo Puppo, Carlo Introini, Paolo Calvi, Angelo Naselli 
The Male Rectourethralis and Deep Transverse Perineal Muscles and Their Relationship to Adjacent Structures Examined with Successive Slices of Celloidin-
The Economic Costs of Overactive Bladder in Germany
Volume 50, Issue 5, Pages (November 2006)
CyberKnife in the Treatment of Prostate Cancer: A Revolutionary System
Volume 55, Issue 3, Pages (March 2009)
Kurt McCammon, François Haab  European Urology Supplements 
Volume 49, Issue 6, Pages (June 2006)
Volume 53, Issue 1, Pages (January 2008)
Volume 71, Issue 5, Pages (May 2017)
European Urology is “Your” Journal
Volume 49, Issue 6, Pages (June 2006)
Luis Martínez-Piñeiro  European Urology 
A Multidisciplinary Team Approach for the Optimal Clinical Management of Metastatic Hormone-Refractory Prostate Cancer—Case Study  John Fitzpatrick  European.
Volume 54, Issue 1, Pages (July 2008)
Volume 51, Issue 5, Pages (May 2007)
Presentation transcript:

Minimising Postoperative Incontinence Following Radical Prostatectomy: Considerations and Evidence  Angelo J. Cambio, Christopher P. Evans  European Urology  Volume 50, Issue 5, Pages 903-913 (November 2006) DOI: 10.1016/j.eururo.2006.08.009 Copyright © 2006 European Association of Urology Terms and Conditions

Fig. 1 3D reconstruction of axial MRI with views from above the puboperineales (Pp) coursing posteriorly from anterior attachment to the pubis (Pu) around urethra (u) to end close to either side of the posterior midline. (A) Composite. (B) See-through. (C) Subtraction. R, rectum; Pa, puboanalis sling of the levator ani; Pr, prostate; Cs, corpus spongiosum; Bl, bladder. From: Myers et al. [22]. European Urology 2006 50, 903-913DOI: (10.1016/j.eururo.2006.08.009) Copyright © 2006 European Association of Urology Terms and Conditions

Fig. 2 Nerve fiber density in trigonal smooth muscle detected immunohistochemically with antibody against general neuronal marker protein growth product 9.5. (A) Abundant nerve fiber staining was detected throughout smooth muscle fascicles intraoperatively. (B) Postoperatively protein growth product 9.5 immunoreactive nerve fiber density was markedly impaired in incontinent patients after 6 weeks. (C) Less postoperative impairment in dry patients after 6 weeks. Reduced from ×410. From: John et al. [23]. European Urology 2006 50, 903-913DOI: (10.1016/j.eururo.2006.08.009) Copyright © 2006 European Association of Urology Terms and Conditions

Fig. 3 Scheme of the periprostatic fascial anatomy. The solid line indicates the typical approach to the paraprostatic space. The dotted arrow indicates the approach suggested by Takenaka et al. EPF=endopelvic fascia; FLA=fascia of levator ani; LPF=lateral pelvic fascia, Figure from: Takenaka et al. [24]. European Urology 2006 50, 903-913DOI: (10.1016/j.eururo.2006.08.009) Copyright © 2006 European Association of Urology Terms and Conditions