Frontiers in Surgery (May 2023)

Modified hood technique for single-port robot-assisted radical prostatectomy contributes to early recovery of continence

  • Haoxun Zhang,
  • Zikuan Ning,
  • Guang Jia,
  • Guoling Zhang,
  • Jiuliang Wang,
  • Hua Liu,
  • Boju Tao,
  • Chunyang Wang

DOI
https://doi.org/10.3389/fsurg.2023.1132303
Journal volume & issue
Vol. 10

Abstract

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Background and purposeUrinary incontinence is one of the common side effects of robot-assisted radical prostatectomy (RARP). Here, we described the modified Hood technique for single-port RARP (sp-RARP) and assessed the interest of this new technique for early continence recovery.MethodsWe retrospectively reviewed 24 patients who underwent sp-RARP modified hood technique from June 2021 to December 2021. The pre-and intraoperative variables, postoperative functional and oncological outcomes of patients were collected and analyzed. The continence rates were estimated at 0 day, 1 week, 4 weeks, 3 months and 12 months after catheter removal. Continence was defined as wearing no pad over a 24 h period.ResultsMean time of operation and estimated blood loss were 183 min and 170 ml, respectively. The postoperative continence rates at 0 day, 1 week, 4 weeks, 3 months and 12 months after catheter removal were 41.7%, 54.2%, 75.0%, 91.7% and 95.8%, respectively. There were two patients who detected positive surgical margins and no patients observed complications requiring further treatment.ConclusionThe modified hood technique is a safe and feasible method that provides better outcomes in terms of early return of continence, without increasing estimated blood loss and compromising oncologic outcomes.

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