Urinary Incontinence Clinical Trial
Official title:
Preservation of Endopelvic Fascia During Radical Prostatectomy: Effects on Postoperative Incontinence and Impotence. Randomized Clinical Trial.
Urinary incontinence and impotence are typical disturbances after radical prostatectomy.
Although, several surgical methods are developed to decrease these disturbances, 8% and 50%
of the patients suffer from permanent urinary incontinence and impotence, respectively.
Previously two studies have shown that endopelvic fascia preservation may decrease
postoperative incontinence and impotence rates. Unfortunately these studies are retrospective
decreasing their reliability.
The present study is prospective and randomized clinical trial. The investigators are going
to randomize 180 patient to preservation and opening the endopelvic fascia groups. Functional
and oncological results are followed up to 1 year after surgery.
180 patients going to radical prostatectomy as treatment of prostate cancer will be
randomized 1:1 to two study arms: In the other arm endopelvic fascia are preserved during the
operation, in the other arm the fascia are opened.
After the operation urinary continence and erection function are compared between the study
arms. Additionally the investigators will study oncological outcomes.
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