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RECRUITINGINTERVENTIONAL

The Role of Levator Ani Muscle Reconstruction Technology in Urinary Incontinence Recovery

The Role of Levator Ani Muscle Reconstruction Technology in Urinary Incontinence Recovery After Robot Assisted Radical Prostatectomy: a Randomized Controlled Clinical Trial

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

This study is a single center, single blind, prospective randomized controlled trial. Patients undergoing robot assisted laparoscopic radical prostatectomy for prostate cancer were randomly divided into 1:1:1 groups, using lateral reconstruction, posterior reconstruction, or no reconstruction. Patients were followed up regularly after surgery and clinical data were collected, including daily use of urine pads, ICIQ-SF score, 24-hour urine leakage, I-QoL score, etc., to evaluate the improvement effect of lateral reconstruction on urinary control and the difference in effect between lateral reconstruction and posterior reconstruction, thereby improving the quality of life of prostate cancer patients after surgery.

Who May Be Eligible (Plain English)

Who May Qualify: - Diagnosed with prostate cancer and preoperative clinical stage of cT2\~T3aN0M0 - Complies with the indications for RARP surgery Who Should NOT Join This Trial: - History of urinary incontinence or urethral stricture - Previous prostate related surgical treatment - Contraindications for RARP surgery - The patient or their family members refuse to participate Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Diagnosed with prostate cancer and preoperative clinical stage of cT2\~T3aN0M0 * Complies with the indications for RARP surgery Exclusion Criteria: * History of urinary incontinence or urethral stricture * Previous prostate related surgical treatment * Contraindications for RARP surgery * The patient or their family members refuse to participate

Treatments Being Tested

PROCEDURE

lateral reconstruction

In lateral reconstruction group, lateral reconstruction is performed by suturing the levator ani muscle to the prostatic collateral ligament and fascia to strengthen the lateral posterior support structure.

PROCEDURE

posterior reconstruction

In posterior group, prior to completion of the operation, the posterior fibrous tissues of the sphincter are joined to the residual Denonvilliers fascia on the posterior bladder wall 1-2 cm cephalad and dorsally to the new bladder neck.

Locations (1)

Peking University First Hospital
Beijing, Beijing Municipality, China