الفهرس | Only 14 pages are availabe for public view |
Abstract Urinary incontinence after MIRP is influenced by many factors.1 Baseline urinary function, adequate bladder capacity, bladder compliance, and the absence of urethral pathology are key factors. Other patients’ characteristics include race, age, and comorbidity.2,3 Surgical factors include surgeon’s experience and surgical techniques including nerve-sparing (NS).4 In 1982, Walsh et al described the concept of NS technique to increase postoperative continence and potency following radical prostatectomy (RP).5 Neurovascular bundle (NVB) preservation was associated with preservation of continence. Other techniques described in the literature have aimed at eliminating NVB damage from trauma or energy usage. Several series have described collateral damage to the bundle from heat associated with monopolar or bipolar usage as major culprits in non-expected postoperative incontinence |