In an editorial board moderated debate format, two experts in prostate cancer surgery are challenged with presenting the key strategies in radical prostatectomy that improve urinary functional outcomes. Dr Bernardo Rocco was tasked with arguing the facts that support the anatomic preservation and reconstruction steps that improve continence. Drs. Christian Pavlovich and Sasha Druskin were tasked with arguing the facts supporting neurovascular bundle and high anterior release surgical planes that improve continence. Associate Editor John Davis moderates the debate, and outlines the current status of validated patient questionnaires that can be used to evaluate urinary continence, and recent work that allows measuring what constitutes a "clinically significant" difference that either or both of these surgical techniques could influence. A review of raw data from a publication from Dr. Pavlovich's team demonstrates how clinically relevant differences in patient reported outcomes can be correlated to technique. A visual atlas is presented from both presenting teams, and Dr. Davis demonstrates further reproducibility of technique. This article is protected by copyright. All rights reserved.
BJU international. 2017 Mar 20 [Epub ahead of print]
Christian P Pavlovich, Bernardo Rocco, Sasha C Druskin, John W Davis
Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD., Ospedale Policlinico e Nuovo Ospedale Civile, S. Agostino Estense, Modena, University of Modena and Reggio Emilia., MD Anderson Cancer Center, Houston, Texas.