32) reported the continence rates of the 1st, 3rd, and 6th months as 53%, 73%, and 100%, respectively, in the technique in which the puboprostatic ligament was protected.
Because we believed that the preservation of the puboprostatic ligament was one of the important parameters contributing to early continence, we protected the puboprostatic ligament in all patients in whom we performed fascia-preserving intrafascial prostatectomy.
The puboprostatic ligament and the male urethral suspensory mechanism: an anatomic study.
After cutting the puboprostatic ligament, the deep dorsal vein was suture-ligated and cut without suspending it to the pubic bone and the urethra was exposed.
They analyzed the influence of perioperative factors (body weight, prostate volume, patient age, and pelvic floor exercise), anatomic factors (puboperinealis muscle-sparing dissection, trigonal denervation, and preservation of endopelvic fascia), and technical factors (bladder neck preservation, urethral length preservation, mucosal eversion, neurovascular bundle, and puboprostatic ligament preservation).
We report the functional (urinary continence) outcome of the puboprostatic ligament sparing technique among a group of Ugandan men with clinically localized prostate cancer.
The puboprostatic ligament sparing radical prostatectomy technique used has been described elsewhere [8-10].
Puboprostatic ligament sparing improves urinary continence after radical retropubic prostatectomy.
Radical prostatectomy: Bladder neck preservation and puboprostatic ligament sparing--effects on continence and positive margins.
In patients with large prostates and narrow and deep anatomy of the pelvis, the puboprostatic ligaments
1) Because the posterior urethra is fixed at both the urogenital diaphragm and the puboprostatic ligaments
, the bulbomembranous junction is more vulnerable to injury during pelvic fracture.
This technique spares the puboprostatic ligaments
, which preserves the anterior support of the urethra and therefore contributes to continence [8,15,16].