Abstract

  OBJECTIVE： To assess surgical outcomes of anterior suspension （AS） with posterior reconstruction （PR） during laparoscopic radical prostatectomy（LRP）
  PATIENTS AND METHODS： Between April 2009 and March 2012, 100 patients underwent LRP at our institution. The initial 50 patients （control group） only underwent LRP with PR, and the consecutive 50 patients （the AS group） underwent the AS technique with PR during LRP. The only difference between the groups was the placement of the AS stitch to restore the anterior stabilization of the urethra for early urinary continence recovery and to facilitate the dissection of the prostate apex. Continence was defined as no requirement of pads and the absence of urine leakage.
  RESULTS： In the AS group, at 1, 3, and 6 postoperative months, the continence rates were 12%, 34%, and 64%, respectively, and in the control group, the rates were 18%, 42%, and 62%, respectively. The rate of apical positive surgical margin was significantly lower in the AS group than the control group （4% vs. 18%, P=0.026）. The complications observed between the patients of the 2 groups were not significantly different.
  CONCLUSION： No improvement in early urinary continence recovery was observed with AS combined with PR during LRP. The use of AS significantly reduced the rate of apical positive surgical margin, without increasing the rate of operative morbidity.