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Early return to continence and potency with use of dehydrated human umbilical cord graft at the time of robot‐assisted radical prostatectomy: A case study and analysis of relevant literature
INTRODUCTION: Robot‐assisted radical prostatectomy often causes damage to the neurovascular bundle which results in erectile dysfunction and urinary incontinence. Recovery may take months; however, dehydrated umbilical cord allografts appear to offer an advantage in terms of a faster return to conti...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088895/ https://www.ncbi.nlm.nih.gov/pubmed/33977245 http://dx.doi.org/10.1002/iju5.12267 |
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author | Krol, Bridget C Hemal, Ashok K Peak, Taylor Liu, Shuo Pathak, Ram A |
author_facet | Krol, Bridget C Hemal, Ashok K Peak, Taylor Liu, Shuo Pathak, Ram A |
author_sort | Krol, Bridget C |
collection | PubMed |
description | INTRODUCTION: Robot‐assisted radical prostatectomy often causes damage to the neurovascular bundle which results in erectile dysfunction and urinary incontinence. Recovery may take months; however, dehydrated umbilical cord allografts appear to offer an advantage in terms of a faster return to continence and potency. CASE PRESENTATION: A 67‐year‐old male, who presented with intermediate‐risk prostate cancer, underwent a bilateral nerve‐sparing radical prostatectomy and placement of dehydrated human umbilical cord graft. Four weeks post‐prostatectomy, the patient reported minimal stress urinary incontinence and erections with 75% rigidity. Three months post‐prostatectomy, the patient noted improved continence and erections with 100% rigidity. CONCLUSION: To our knowledge, this is the second experience reported in the literature evaluating the use of umbilical cord allograft during robot‐assisted radical prostatectomy, with promising results, and it is the first reported case to analyze potency as an outcome. |
format | Online Article Text |
id | pubmed-8088895 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-80888952021-05-10 Early return to continence and potency with use of dehydrated human umbilical cord graft at the time of robot‐assisted radical prostatectomy: A case study and analysis of relevant literature Krol, Bridget C Hemal, Ashok K Peak, Taylor Liu, Shuo Pathak, Ram A IJU Case Rep Case Reports INTRODUCTION: Robot‐assisted radical prostatectomy often causes damage to the neurovascular bundle which results in erectile dysfunction and urinary incontinence. Recovery may take months; however, dehydrated umbilical cord allografts appear to offer an advantage in terms of a faster return to continence and potency. CASE PRESENTATION: A 67‐year‐old male, who presented with intermediate‐risk prostate cancer, underwent a bilateral nerve‐sparing radical prostatectomy and placement of dehydrated human umbilical cord graft. Four weeks post‐prostatectomy, the patient reported minimal stress urinary incontinence and erections with 75% rigidity. Three months post‐prostatectomy, the patient noted improved continence and erections with 100% rigidity. CONCLUSION: To our knowledge, this is the second experience reported in the literature evaluating the use of umbilical cord allograft during robot‐assisted radical prostatectomy, with promising results, and it is the first reported case to analyze potency as an outcome. John Wiley and Sons Inc. 2021-02-17 /pmc/articles/PMC8088895/ /pubmed/33977245 http://dx.doi.org/10.1002/iju5.12267 Text en © 2021 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Krol, Bridget C Hemal, Ashok K Peak, Taylor Liu, Shuo Pathak, Ram A Early return to continence and potency with use of dehydrated human umbilical cord graft at the time of robot‐assisted radical prostatectomy: A case study and analysis of relevant literature |
title | Early return to continence and potency with use of dehydrated human umbilical cord graft at the time of robot‐assisted radical prostatectomy: A case study and analysis of relevant literature |
title_full | Early return to continence and potency with use of dehydrated human umbilical cord graft at the time of robot‐assisted radical prostatectomy: A case study and analysis of relevant literature |
title_fullStr | Early return to continence and potency with use of dehydrated human umbilical cord graft at the time of robot‐assisted radical prostatectomy: A case study and analysis of relevant literature |
title_full_unstemmed | Early return to continence and potency with use of dehydrated human umbilical cord graft at the time of robot‐assisted radical prostatectomy: A case study and analysis of relevant literature |
title_short | Early return to continence and potency with use of dehydrated human umbilical cord graft at the time of robot‐assisted radical prostatectomy: A case study and analysis of relevant literature |
title_sort | early return to continence and potency with use of dehydrated human umbilical cord graft at the time of robot‐assisted radical prostatectomy: a case study and analysis of relevant literature |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088895/ https://www.ncbi.nlm.nih.gov/pubmed/33977245 http://dx.doi.org/10.1002/iju5.12267 |
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