Page 60 - 4 DIATMHMATIKO - ABSTRACT BOOK_FINAL

OΡΓΑΝΩΣΗ
ΕΛΛΗΝΙΚΗ ΟΥΡΟΛΟΓΙΚΗ ΕΤΑΙΡΕΙΑ
ΠΑΝΕΛΛΗΝΙΟ ΔΙΑΤΜΗΜΑΤΙΚΟ ΣΥΝΕΔΡΙΟ
BΟΛΟΣ • ΣΥΝΕΔΡΙΑΚΟ ΚΕΝΤΡΟ ΘΕΣΣΑΛΙΑΣ, ΜΕΛΙΣΣΑΤΙΚΑ
60 4o ΠΑΝΕΛΛΗΝΙΟ ΔΙΑΤΜΗΜΑΤΙΚΟ ΣΥΝΕΔΡΙΟ ΤΗΣ ΕΛΛΗΝΙΚΗΣ ΟΥΡΟΛΟΓΙΚΗΣ ΕΤΑΙΡΕΙΑΣ
ΒΙΒΛΙΟ ΠΕΡΙΛΗΨΕΩΝ
25-27 Σεπτεμβρίου 2025
e - Posters
Σκοπός της μελέτης: Post radical prostatectomy urinary incontinence is one of the most common complications. Although 12-month continence ratesreach 90%, few patients are continent in the early postoperative period. The “Hood” technique involves preservation of the anteriorsupport of the detrusor appron and it may improve early return of continence.
Υλικό και μέθοδος: Patients undergoing 3D laparoscopic radical prostatectomy in our clinic were randomly allocated to either the Hood technique(Group A) or standard anterior approach (Group B) and blinded to allocation status. All cases were performed by a single surgeon. A fish-mouth bladder neck closure before anastomosis, a standardised posterior reconstruction with approximation of the puborectalis with the prostatovesical muscle to relieve anastomotic tension and a continuous anastomotic suture with 3-0 V loc were performed in all patients in both groups. Extrafascial, interfascial and intrafascial nerve sparing techniques were performed according to the clinical stage and preoperative erectile function as appropriate. Patients were monitored at a 7-day and a 14-day, 1, 1.5, 2, 2.5, 3 and 6-month follow-up after catheter removal with regard to the net weight of their pads. The net urine weight and continence rates(totally dry) were compared using the chi-square and t-test evaluation. A p-vaIue<0.05 was considered statistically significant.
Αποτελέσματα: A total of 92 patients are included in the analysis so far (Group A - n=41, Group B - n=51). Mean age at the Group A was 67.5 ± 6.31 and at the Group B it was 71 ± 5.4. Mean BMI at Group A was 27.5 ± 3.02 and at Group B it was 28.7 ± 4.42. Mean PSA at Group A was 6.47 ± 3.08 and 6.95 ± 5.5, at Groups A and B respectively. Lastly mean operative time at Group A was 109.26 min and at Group B was 122.13 min. There was no statistically significant difference in the aforementioned mean values between Group A and Group B. There was a statistically significant difference between the two groups in the first two postoperative months regarding the mean net urine weight and the continence rates (Table 1).
Συμπεράσματα: The Hood technique showed statistically significant better results in early postoperative continence in comparison to the standard anterior dissection according to the results of this randomised controlled study. Patient recruitment is still ongoing.
Σκοπός της μελέτης: Η ανάδειξη μια σπάνιας κλινικής περίπτωσης μεταστατικού νεφροκυτταρικού καρκινώματος εκ διαυγών κυττάρων που εκδηλώνεται ως τραχηλική δερματική αλλοίωση και η διαγνωστική αξία τόσο της βιοψίας με λεπτή βελόνη όσο και των ανοσοϊστοχημικών δεικτών στην πρώιμη ανίχνευση της μεταστατικής νόσου.
PP81
ΑΠΟΚΑΛΥΠΤΟΝΤΑΣ ΤΟΝ ΚΑΡΚΙΝΟ ΤΟΥ ΝΕΦΡΟΥ ΑΠΟ ΤΟ ΔΕΡΜΑ: ΜΙΑ ΠΕΡΙΠΤΏΣΗ ΜΕΤΑΣΤΑΣΗΣ ΣΤΟΝ ΥΠΟΔΟΡΙΟ ΙΣΤΟ ΤΟΥ ΤΡΑΧΗΛΟΥ ΑΠΟ ΔΙΑΥΓΟΚΥΤΤΑΡΙΚΟ RCC Ανδρέας Γεωργίου1, Απόστολος Ντάνασης1, Ελισάβετ Μελίσση1, Ευάγγελος Σήτος1, Ευφημία Μπαλάση1, Ζαχαρίας Χουσιανίτης1, Κωνσταντίνος Χασταζέρης1
1Γ.Ν.Ιωαννίνων "Γ.Χατζηκώστα"
PP80
EARLY URINARY CONTINENCE AFTER HOOD TECHNIQUE IN 3D LAPAROSCOPIC RADICAL PROSTATECTOMY. RESULTS OF A RANDOMIZED CONTROLLED CLINICAL TRIAL
Άγγελος Τζώρας1, Σάββας Τσακίρης1, Φώτιος Γάσπαρος1, Αλέξανδρος Σάμης1, Χριστόφορος Κουρουνιώτης1, Μαρία Ζέρβα1, Κωνσταντίνος Μπουρόπουλος1, Αντώνιος Κατσιμαντάς1, Νικόλαος Φεράκης1
1ΝΕΕΣ "Κοργιαλένειο - Μπενάκειο"