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The prostate is located right beneath the bladder, and surrounds the urethral sphincter. Any damage to the sphincter or surrounding muscles and nerves can lead to urinary incontinence. The problem is most severe in the first 6 to 12 months after treatment, but usually resolves on its own within this time. [ 17 ]
The current gold standard of management for persistent urinary incontinence after prostatectomy is the placement of an artificial urinary sphincter. [11] Male slings are an alternative for mild to moderate post-prostatectomy incontinence. [12] [13] Retrograde ejaculation due to injury of the prostatic urethra. This is one of the most frequent ...
Prostatectomy (from the Greek προστάτης prostátēs, "prostate" and ἐκτομή ektomē, "excision") is the surgical removal of all or part of the prostate gland. This operation is done for benign conditions that cause urinary retention, as well as for prostate cancer and for other cancers of the pelvis .
Laparoscopic radical prostatectomy and open radical prostatectomy differ in how they access the deep pelvis and generate operative views. In contrast to open radical prostatectomy, the laparoscopic radical prostatectomy makes no use of retractors and does not require that the abdominal wall be parted and stretched for the duration of the operation.
Radical retropubic prostatectomy was developed in 1945 by Terence Millin at the All Saints Hospital in London. The procedure was brought to the United States by one of Millin's students, Samuel Kenneth Bacon, M.D., adjunct professor of surgery, University of Southern California, and was refined in 1982 by Patrick C. Walsh [1] at the James Buchanan Brady Urological Institute, Johns Hopkins ...
The Mitrofanoff procedure is sometimes performed along with bladder neck closure, [16] but Duckett advised against the closure of the bladder neck. [14] Today, the Mitrofanoff procedure can be performed robotically or using laparoscopic techniques and it paved the way for the creation of other urinary conduits using fallopian tubes, ureters ...
The procedure was first performed on a 70-year old married preacher on 7 April 1904 by American surgeon Hugh H. Young and assisted by William S. Halstead, as a way of removing the prostate in cancer treatment, after prostatic massage and an early type of transurethral resection of the prostate had failed to relieve him of pain in his urethra. [8]
Ablation procedures – used in treating both bladder tumours [22] and bladder outlet obstruction, such as prostate conditions. [23] Bladder-neck incision (BNI) Removal of the prostate – open, robotic, and endoscopic techniques are used. Stenting of the prostate [24] and urethra. Transurethral resection of the prostate (TURP)
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