Improved Early Urinary Continence After Robot-Assisted Radical Prostatectomy Using a Modified Vesicourethral Anastomosis with Posterior Musculofascial Reconstruction: A Prospective Comparative Study

The study suggests that the P-VUA technique was associated with faster recovery of urinary continence compared with ST-VUA in this prospective, non-randomized cohort. These findings support the hypothesis that integrating anatomical reconstruction principles into the anastomotic step may enhance functional outcomes after RARP. However, the results should be interpreted with caution, given the study design and sample size, and require confirmation in larger, preferably randomized studies.

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Publication Details

Journal
Journal of Clinical Medicine
Published
2026-04-12
DOI
https://doi.org/10.3390/jcm15082933
Primary Topic
Prostate Cancer Diagnosis and Treatment
Type
article
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article

Improved Early Urinary Continence After Robot-Assisted Radical Prostatectomy Using a Modified Vesicourethral Anastomosis with Posterior Musculofascial Reconstruction: A Prospective Comparative Study

Giorgio Martino, Damiano Graziani, Onofrio Antonio Rera, Andrea Fuschi et al.
Journal of Clinical Medicine
Prostate Cancer Diagnosis and Treatment
article

Improved Early Urinary Continence After Robot-Assisted Radical Prostatectomy Using a Modified Vesicourethral Anastomosis with Posterior Musculofascial Reconstruction: A Prospective Comparative Study

Giorgio Martino, Damiano Graziani, Onofrio Antonio Rera, Andrea Fuschi, Manfredi Bruno Sequi, Giovanni Di Gregorio, Antonio Luigi Pastore, Fabio Maria Valenzi, Michele Di Dio, Yazan Al Salhi, Giuseppe Candita, Luca Erra, Paolo Pietro Suraci, Filippo Gianfrancesco, Paolo Benanti, Battista Lanzillotta
article en

Abstract

The study suggests that the P-VUA technique was associated with faster recovery of urinary continence compared with ST-VUA in this prospective, non-randomized cohort. These findings support the hypothesis that integrating anatomical reconstruction principles into the anastomotic step may enhance functional outcomes after RARP. However, the results should be interpreted with caution, given the study design and sample size, and require confirmation in larger, preferably randomized studies.

Journal of Clinical MedicineVol. 15(8)
University of Rome Tor Vergata (IT), Ospedale Annunziata di Cosenza (IT), Sapienza University of Rome (IT)
Good health and well-being
Openalex Percentile: Top 24%
Prostate Cancer Diagnosis and Treatment
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