On this video, David I. Lee, MD, FACS, discusses the AUA 2024 summary, “Prolonged preservation of the prostatic urethra mitigates the drawback of innate quick membranous urethral size.” Lee is director of the UCI Well being Complete Prostate Most cancers Program and professor of urology on the UCI Faculty of Medication.
Transcription:
Please present an summary of the AUA 2024 summary “ Prolonged preservation of the prostatic urethra mitigates the drawback of innate quick membranous urethral size.”
In my massive expertise of doing robotic prostatectomies, we’re all the time searching for new methods or new surgical steps that we are able to do with a purpose to enhance our sufferers’ outcomes, primarily these of most cancers remedy, continence and efficiency. And by preserving an prolonged quantity of urethral size, I hope to enhance the continence outcomes for our sufferers. There is a steadiness, although, that must be struck as a result of the extra urethra that you just save, the extra probably you can go away most cancers behind by getting too near the prostate. And so what we checked out was attempting to rotate the prostate all the best way round both manner as we’re doing the apical dissection with a purpose to visualize the apex rather well, however then to have the ability to protect an extended and longer urethral size. That helps general, however we checked out these sufferers who, on MRI, have been seen to have a brief urethral size, which was surrounded by the sphincter space. This appears to be an obstacle for sufferers after they’re present process prostatectomy, as a result of that predisposes them to have a better charge of incontinence afterwards. However by utilizing our approach, and actually preserving that urethral size rather well, it appears to assist these sufferers specifically to have higher outcomes. And so, that is undoubtedly one thing that every one surgeons attempt to do to protect urethral size. However this can be a presentation that we did with a purpose to reveal our approach to assist our sufferers after which assist different surgeons to duplicate this to convey higher outcomes for his or her sufferers.
This transcription was edited for readability.
