Transperineal reanastomosis for treatment of highly recurrent anastomotic strictures after radical retropubic prostatectomy: extended follow-up
ObjectivesTo re-evaluate safety and efficacy of transperineal reanastomosis (TPRA) as a viable therapeutic option in highly recurrent anastomotic strictures (AS) after radical retropubic prostatectomy (RRP).MethodsRetrospective analysis by standardized questionnaire inquiring for recurrence of stric...
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
3 July 2017
|
| In: |
World journal of urology
Year: 2017, Jahrgang: 35, Heft: 12, Pages: 1885-1890 |
| ISSN: | 1433-8726 |
| DOI: | 10.1007/s00345-017-2067-8 |
| Online-Zugang: | Verlag, Volltext: http://dx.doi.org/10.1007/s00345-017-2067-8 Verlag, Volltext: http://link.springer.com/article/10.1007/s00345-017-2067-8 
|
| Verfasserangaben: | Victor Maximilian Schuettfort, Roland Dahlem, Luis Kluth, Daniel Pfalzgraf, Clemens Rosenbaum, Tim Ludwig, Margit Fisch, Christoph-Philip Reiss |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1576157644 | ||
| 003 | DE-627 | ||
| 005 | 20220814155149.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 180607s2017 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00345-017-2067-8 |2 doi | |
| 035 | |a (DE-627)1576157644 | ||
| 035 | |a (DE-576)506157644 | ||
| 035 | |a (DE-599)BSZ506157644 | ||
| 035 | |a (OCoLC)1341011147 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Schüttfort, Victor |d 1989- |e VerfasserIn |0 (DE-588)1070045349 |0 (DE-627)823216888 |0 (DE-576)429725256 |4 aut | |
| 245 | 1 | 0 | |a Transperineal reanastomosis for treatment of highly recurrent anastomotic strictures after radical retropubic prostatectomy |b extended follow-up |c Victor Maximilian Schuettfort, Roland Dahlem, Luis Kluth, Daniel Pfalzgraf, Clemens Rosenbaum, Tim Ludwig, Margit Fisch, Christoph-Philip Reiss |
| 264 | 1 | |c 3 July 2017 | |
| 300 | |a 6 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 07.06.2018 | ||
| 520 | |a ObjectivesTo re-evaluate safety and efficacy of transperineal reanastomosis (TPRA) as a viable therapeutic option in highly recurrent anastomotic strictures (AS) after radical retropubic prostatectomy (RRP).MethodsRetrospective analysis by standardized questionnaire inquiring for recurrence of stricture, stress urinary incontinence (SUI), sexual function, satisfaction, and changes in quality of life (QoL) was performed in all patients undergoing TPRA. Validated questionnaires (ICIQ-UI, EQ-5D, and IPSS) were included.ResultsMedian follow-up was 45.0 months. The average number of prior operations was 4.69. Success rate was 87% (20/23). Three recurrences were successfully treated via endoscopic means. All patients had urinary incontinence pre-op and post-op. Implantation of an artificial urinary sphincter (AUS) has been performed successfully in 73.9% (17/23). Rate of complications was low (8.7%; 2/23, Clavien-Dindo Grade II + III). EQ-5D-VAS showed a good general state of health (73.5/100). An improvement in QoL was noted in 63.6% (14/22) and patient satisfaction was high (72.7%; 16/22).ConclusionsThis extended follow-up confirms the initial results for TPRA as an excellent treatment option for highly recurrent AS after RRP. Postoperative SUI as a consequence of transsphincteric urethral mobilization can be satisfactorily treated by the implantation of AUS. In case of AS recalcitrant to endoscopic treatment, the described procedure—even though technically challenging—represents a valuable treatment option. | ||
| 700 | 1 | |a Pfalzgraf, Daniel Philipp |d 1979- |e VerfasserIn |0 (DE-588)132763664 |0 (DE-627)526921579 |0 (DE-576)299396908 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t World journal of urology |d Berlin : Springer, 1983 |g 35(2017), 12, Seite 1885-1890 |h Online-Ressource |w (DE-627)254910874 |w (DE-600)1463303-6 |w (DE-576)074754505 |x 1433-8726 |7 nnas |a Transperineal reanastomosis for treatment of highly recurrent anastomotic strictures after radical retropubic prostatectomy extended follow-up |
| 773 | 1 | 8 | |g volume:35 |g year:2017 |g number:12 |g pages:1885-1890 |g extent:6 |a Transperineal reanastomosis for treatment of highly recurrent anastomotic strictures after radical retropubic prostatectomy extended follow-up |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1007/s00345-017-2067-8 |x Verlag |x Resolving-System |3 Volltext |
| 856 | 4 | 0 | |u http://link.springer.com/article/10.1007/s00345-017-2067-8 |x Verlag |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20180607 | ||
| 993 | |a Article | ||
| 994 | |a 2017 | ||
| 998 | |g 132763664 |a Pfalzgraf, Daniel Philipp |m 132763664:Pfalzgraf, Daniel Philipp |d 60000 |d 63100 |e 60000PP132763664 |e 63100PP132763664 |k 0/60000/ |k 1/60000/63100/ |p 4 | ||
| 999 | |a KXP-PPN1576157644 |e 3012071741 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"name":{"displayForm":["Victor Maximilian Schuettfort, Roland Dahlem, Luis Kluth, Daniel Pfalzgraf, Clemens Rosenbaum, Tim Ludwig, Margit Fisch, Christoph-Philip Reiss"]},"id":{"eki":["1576157644"],"doi":["10.1007/s00345-017-2067-8"]},"origin":[{"dateIssuedKey":"2017","dateIssuedDisp":"3 July 2017"}],"relHost":[{"type":{"media":"Online-Ressource","bibl":"periodical"},"note":["Gesehen am 06.12.05","Teils ungezählte Beil.: Supplement"],"disp":"Transperineal reanastomosis for treatment of highly recurrent anastomotic strictures after radical retropubic prostatectomy extended follow-upWorld journal of urology","recId":"254910874","language":["eng"],"pubHistory":["1.1983 -"],"part":{"extent":"6","volume":"35","text":"35(2017), 12, Seite 1885-1890","pages":"1885-1890","issue":"12","year":"2017"},"title":[{"title_sort":"World journal of urology","title":"World journal of urology"}],"physDesc":[{"extent":"Online-Ressource"}],"origin":[{"publisherPlace":"Berlin ; Heidelberg","dateIssuedKey":"1983","publisher":"Springer","dateIssuedDisp":"1983-"}],"id":{"zdb":["1463303-6"],"eki":["254910874"],"issn":["1433-8726"]}}],"physDesc":[{"extent":"6 S."}],"person":[{"family":"Schüttfort","given":"Victor","roleDisplay":"VerfasserIn","display":"Schüttfort, Victor","role":"aut"},{"family":"Pfalzgraf","given":"Daniel Philipp","roleDisplay":"VerfasserIn","display":"Pfalzgraf, Daniel Philipp","role":"aut"}],"title":[{"title":"Transperineal reanastomosis for treatment of highly recurrent anastomotic strictures after radical retropubic prostatectomy","subtitle":"extended follow-up","title_sort":"Transperineal reanastomosis for treatment of highly recurrent anastomotic strictures after radical retropubic prostatectomy"}],"recId":"1576157644","language":["eng"],"type":{"bibl":"article-journal","media":"Online-Ressource"},"note":["Gesehen am 07.06.2018"]} | ||
| SRT | |a SCHUETTFORTRANSPERIN3201 | ||