Logo-mj
Med J Tabriz Uni Med Sciences. Inpress.
doi: 10.34172/mj.2024.038
  Abstract View: 60

Urology

Short Communication

Outcomes of open radical retropubic prostatectomy surgery using the levator fascia anterior-superior release method

Kamaleddin Hassanzadeh 1* ORCID logo, Hoora Hassanzadeh 2, Hanieh Salehi _Pourmehr 3, Abolfazl Abbaspour Moghanlo 4

1 Department of Urology, Faculty of Medicine, Sinai Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
2 General Physician, Tabriz University of Medical Sciences, Tabriz, Iran
3 Research Center for Evidence-Based Medicine, Iranian EBM: A Joanna Briggs Institute (JBI) Center of Excellence, Tabriz University of Medical Sciences, Tabriz, Iran
4 Urologist, Pars Abad, Iran
*Corresponding Author: Email: drhassanzadehka@yahoo.com

Abstract

Background. One of the common treatments for prostate cancer is radical prostatectomy, which is performed in different ways. One of the advantages of the nerve bundle preservation method is better exposure, decrease in rectal damage the lower rectum. In addition, the possibility of a positive margin is less. Therefore, this study aimed to examine the results of using the high anterior release (HAR) technique in radical open prostatectomy surgery.

Methods. In this cross-sectional study, after examining patients and their entry into the study and obtaining their medical records, questions were asked to assess erectile function and urinary incontinence. The prostate-specific antigen level was checked before and after the operation. In addition, the average surgical time, blood loss, and hospitalization time were evaluated. Finally, the data were analyzed using the SPSS statistical analysis program, version 19.

Results. In this study, 102 patients underwent radical prostatectomy, with an average age of 62.33 years. About 56.9% of patients had stage t2b. During the 6-month follow-up after surgery, 70.5% of patients had complete urinary continence. Data analysis demonstrated that there is a direct relationship between urinary incontinence, with a history of radiotherapy (P<0.001), and the stage of the disease (P=0.019). After surgery, 61.8% of patients were satisfied with the erection function.

Conclusion. The results of this study revealed that urinary incontinence and erectile dysfunction are relatively common complications of this surgery. However, compared to other similar studies, the incidence of these two complications is lower.

Practical Implications. Urinary incontinence and erectile dysfunction are relatively prevalent complications of radical prostatectomy surgery using the HAR technique. Nonetheless, the incidence of these two complications is lower compared to other similar studies.



How to cite this article: Hassanzade K , Hassanzadeh H, Salehi_Pourmehr H, Abolfazl Moghanlo A. Outcomes of open radical retropubic prostatectomy surgery using the levator fascia anterior-superior release method. Med J Tabriz Uni Med Sciences. 2024; 46():doi: 10.34172/mj.2024.038. Persian.
First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 61

Your browser does not support the canvas element.


PDF Download: 0

Your browser does not support the canvas element.

Submitted: 16 Aug 2023
Revision: 21 Jan 2024
Accepted: 29 Jan 2024
ePublished: 29 May 2024
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)