The most common side effect of radical prostate removal – urinary incontinence – occurs in 85 percent of patients. After surgery, adult men are spared the tumor, but are forced to wear urological pads or diapers for six months or longer.
With coughing, running, or physical exertion, leakage can haunt life. This torment was saved: Sechenovsky University urologists, under the guidance of Professor Leonid Rapoport, patented a modification of a robotic operation that eliminates this risk.
This is a fascia and nerve-saving technique, during which a cancerous tumor is removed without damage to the ligamentous apparatus of the pelvis and dorsal venous complex, the intervention of which causes incontinence in most cases. Urination is restored immediately after removal of the urethral catheter, usually 7-10 days after surgery.
Novation is also in technological methods of hemostasis. Instead of traditional clips for stopping bleeding – pin point coagulation – fast cauterization of blood vessels in low-energy modes. After it, fibrotic changes and atrophy do not occur in the area responsible for the potency of the neurovascular bundles that accompany clipping. “After fascia- and nerve-sparing surgery, the resumption of sexual activity is possible in a month and a half or two months, approximately six times faster than usual,” the author Professor Mikhail Enikeev draws attention.
The patent is in no way associated with making a profit and does not limit the application. The task is diametrically opposite: specialized journals will publish a description of the methodology, which will help wide distribution. For the first time it was introduced to a large professional community by Mikhail Enikeev during the robotic section of the European Association of Urology in the spring of this year.