Technical problems in achieving continence after radical retropubic prostatectomy by the "digitoclasia" technique
Strada, G.R.; Casu, M.; Baccalin, A.; Manganini, V.; Viganò, P.; Giuberti, A.; Abate, A.
Archivio Italiano di Urologia Andrologia Organo Ufficiale di Societa Italiana di Ecografia Urologica e Nefrologica 73(3): 140-142
2001
ISSN/ISBN: 1124-3562 PMID: 11822056 Document Number: 529633
Radical prostatectomy today has become a frequent operation in all urology wards. An increasing attention is nowadays paid to the question of post-operation continence, which is considered a fundamental aspect for a good quality of life. The Authors propose two variations to the Walsh's technique: conservation of the distal sphincter obtained by "digitoclasic" isolation of the same and conservation of the proximal sphincter obtained by means of a personal preparation technique of the vesical neck and anastomosis of the same to the urethral stump. The record of cases, not large enough, and in particular some initial failures occurred during the finalization phase of the technique, do not yet allow to draw final conclusions.