Cargando…

Management with Santorini’s Plexus Should Be Personalized during Prostatectomy

The aim of this study is to compare the results of laparoscopic prostatectomy in terms of management with Dorsal Venosus Complex (DVC)/Santorini’s plexus as it is still an open question in the field of urology. For this purpose, 457 patients after prostatectomy derived from two high volume centers w...

Descripción completa

Detalles Bibliográficos
Autores principales: Wilamowski, Jacek, Wojtarowicz, Mateusz, Adamowicz, Jan, Golab, Adam, Pozniak, Michal, Leminski, Artur, Kuffel, Blazej, Slojewski, Marcin, Drewa, Tomasz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9144390/
https://www.ncbi.nlm.nih.gov/pubmed/35629191
http://dx.doi.org/10.3390/jpm12050769
_version_ 1784716036635885568
author Wilamowski, Jacek
Wojtarowicz, Mateusz
Adamowicz, Jan
Golab, Adam
Pozniak, Michal
Leminski, Artur
Kuffel, Blazej
Slojewski, Marcin
Drewa, Tomasz
author_facet Wilamowski, Jacek
Wojtarowicz, Mateusz
Adamowicz, Jan
Golab, Adam
Pozniak, Michal
Leminski, Artur
Kuffel, Blazej
Slojewski, Marcin
Drewa, Tomasz
author_sort Wilamowski, Jacek
collection PubMed
description The aim of this study is to compare the results of laparoscopic prostatectomy in terms of management with Dorsal Venosus Complex (DVC)/Santorini’s plexus as it is still an open question in the field of urology. For this purpose, 457 patients after prostatectomy derived from two high volume centers were compared. In one center, patients underwent DVC ligation in all cases, whereas in the second center, this step was omitted. Subsequently, the histological and functional results were compared. Results showed that DVC management has an impact on blood loss and the duration of the surgery. In addition, omitting DVC ligation is demonstrated to reduce positive margin rate within the apex if the cancer was localized in this region. The continence and erectile function were similar in the 12-month follow up.
format Online
Article
Text
id pubmed-9144390
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-91443902022-05-29 Management with Santorini’s Plexus Should Be Personalized during Prostatectomy Wilamowski, Jacek Wojtarowicz, Mateusz Adamowicz, Jan Golab, Adam Pozniak, Michal Leminski, Artur Kuffel, Blazej Slojewski, Marcin Drewa, Tomasz J Pers Med Article The aim of this study is to compare the results of laparoscopic prostatectomy in terms of management with Dorsal Venosus Complex (DVC)/Santorini’s plexus as it is still an open question in the field of urology. For this purpose, 457 patients after prostatectomy derived from two high volume centers were compared. In one center, patients underwent DVC ligation in all cases, whereas in the second center, this step was omitted. Subsequently, the histological and functional results were compared. Results showed that DVC management has an impact on blood loss and the duration of the surgery. In addition, omitting DVC ligation is demonstrated to reduce positive margin rate within the apex if the cancer was localized in this region. The continence and erectile function were similar in the 12-month follow up. MDPI 2022-05-10 /pmc/articles/PMC9144390/ /pubmed/35629191 http://dx.doi.org/10.3390/jpm12050769 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wilamowski, Jacek
Wojtarowicz, Mateusz
Adamowicz, Jan
Golab, Adam
Pozniak, Michal
Leminski, Artur
Kuffel, Blazej
Slojewski, Marcin
Drewa, Tomasz
Management with Santorini’s Plexus Should Be Personalized during Prostatectomy
title Management with Santorini’s Plexus Should Be Personalized during Prostatectomy
title_full Management with Santorini’s Plexus Should Be Personalized during Prostatectomy
title_fullStr Management with Santorini’s Plexus Should Be Personalized during Prostatectomy
title_full_unstemmed Management with Santorini’s Plexus Should Be Personalized during Prostatectomy
title_short Management with Santorini’s Plexus Should Be Personalized during Prostatectomy
title_sort management with santorini’s plexus should be personalized during prostatectomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9144390/
https://www.ncbi.nlm.nih.gov/pubmed/35629191
http://dx.doi.org/10.3390/jpm12050769
work_keys_str_mv AT wilamowskijacek managementwithsantorinisplexusshouldbepersonalizedduringprostatectomy
AT wojtarowiczmateusz managementwithsantorinisplexusshouldbepersonalizedduringprostatectomy
AT adamowiczjan managementwithsantorinisplexusshouldbepersonalizedduringprostatectomy
AT golabadam managementwithsantorinisplexusshouldbepersonalizedduringprostatectomy
AT pozniakmichal managementwithsantorinisplexusshouldbepersonalizedduringprostatectomy
AT leminskiartur managementwithsantorinisplexusshouldbepersonalizedduringprostatectomy
AT kuffelblazej managementwithsantorinisplexusshouldbepersonalizedduringprostatectomy
AT slojewskimarcin managementwithsantorinisplexusshouldbepersonalizedduringprostatectomy
AT drewatomasz managementwithsantorinisplexusshouldbepersonalizedduringprostatectomy