Purpose: To report on an ascending radical retropubic Prostatectomy (RRP) technique and determine whether this technique has better perioperative, oncological and functional outcomes than the standard RRP technique applied in our clinic. Materials and Methods: The perioperative and functional outcomes of the 246 patients that underwent standard RRP (N = 150) or modified RRP (N = 96) were evaluated, retrospectively. In the modified RRP technique the dorsal vascular complex (DVC) was controlled at first. Thereafter, the bladder neck was incised at the prostate-vesical junction. After seminal vesicles and vasa were exposed, posterior dissection was continued until to the apex. Finally, the urethra was divided. Results: The mean volume of estimated blood loss (EBL) was significantly longer in the standard RRP group than in the modified RRP group (610 vs. 210 ml, respectively; P =. 001). The mean operative time (OT) was significantly less in the modified RRP group (177 vs. 134 min, respectively; P =. 003), as were the transfusion rate TR (P =. 041). With regard to the rate of postoperative complications, a statistically significant difference was observed between the two groups (P =. 014). Continence rates after 3 and 12 months postoperatively were 98. 95% and 98. 95 % in the modified RRP group, and 97. 33% and 98. 66% in the standard RRP group, respectively ( P =. 83). Conclusion: We observed that the EBL, TR and OT were significantly lower when we applied the modified RRP technique to patients. This modified technique might be applicable for institutions as an alternative procedure for the standard RRP technique.

Background: Prostate traction is one way to control post-Prostatectomy bleeding. The most popular method involves traction with a catheter fixed to the thigh with adhesive bands. However, this method has its own drawbacks.Objectives: We aimed to simplify this traction procedure and to overcome its disadvantages.Patients and Methods: From 2007 - 2015, a new method was used to control post-Prostatectomy bleeding in 152 patients. This technique involved inducing pressure on the prostate neck with an indwelling catheter attached to a partially filled urine bag to control bleeding after a Prostatectomy.Results: The new method effectively controlled post-Prostatectomy bleeding. A few patients required surgical intervention.Conclusions: Post-Prostatectomy catheter traction using a semi-filled urine bag was an acceptable alternative to the standard method to control post-operative bleeding.

Purpose: To compare the erectile function and urinary continence of patients after single-port transvesical laparoscopic radical Prostatectomy (STLRP) with intrafascial endoscopic extraperitoneal radical Prostatectomy (IEERP). Materials and Methods: Patients treated with STLRP (35) or IEERP (52) were recruited from September 2013 to June 2017. At baseline preoperatively and 2-year follow-up postoperatively, sex and continence assessments were performed by International Index of Erectile Function-6 (IIEF-6) and daily pads, respectively. Results: The sexual function at 3 months after RP declined obviously. 71. 4% (STLRP) and 38. 5% (IEERP) patients recovered potency at 6 months postoperatively (P <. 01). 82. 9% (STLRP) and 59. 6% (IEERP) patients recovered potency at 2 years postoperatively (P <. 05). 97. 1% (STLRP) and 75. 0% (IEERP) patients recovered continence (0 pad/day) at 3 months postoperatively (P <. 01). Continence achieved 100. 0% at 2 years after RP in both groups. Conclusion: Patients receiving STLRP may obtain better and faster postoperative functional recovery than the ones receiving IEERP. As an exploratory research, STLRP may be another effective treatment for organ-confined prostate cancer.