Cancer - Prostate(구연) International Session I (I-09) Rm. 202 10월 31일(목) 15:00-16:00 Impact of Modified Bladder Neck Suspension on Early Recovery of Continence after Robot-Assisted Radical Prostatectomy(RARP) 가톨릭대학교 서울성모병원 신동호, 허경재, 문형우, 이규원, 박용현, 배웅진, 조혁진, 하유신, 홍성후, 김세웅, 이지열 Introduction & Objective The incontinence after RARP significantly decreases the quality of life in prostate cancer patients. A number of techniques have been introduced for the recovery of continence after RARP. Although, the mechanism of the continence recovery is still unclear. We aimed to evaluate the early recovery of continence after RARP by inducing early anterior adhesion and reducing the hypermobility of the urethra through the modified bladder neck suspension(BNS) procedure. Methods From March 2017 to October 2018, a total of 209 consecutive patients who underwent RARP(by single surgeon) were included. Patients were divided into two groups based on operation procedure (Standard procedure vs BNS procedure). Demographics, perioperative variables, and pathologic outcome were analyzed. We assessed recovery of continence at 1, 3, 6 and 9months after surgery. Postoperative recovery of continence defined as the use of no pad during 24hr. Multivariable logistic regression analyses were performed to evaluate independent predictors of the early recovery of continence at 1 month. Results We performed RARP with standard procedure (n=106) or BNS procedure (n=103). There was no statistical difference in perioperative variables between the two groups except anastomosis time (21.6 ± 12.9 vs 17.0 ± 7.6, p=0.003). The pad free continence rate were 80.2% (standard group) and 91.3% (BNS group) at 9month after RARP (p=0.037). However, early continence rate (1mo) were significantly higher in the BNS group (12.3% vs 29.1%, p=0.004). On multivariate logistic analyses, BNS procedure (odds ratio [OR]:2.78, 95% confidence interval [CI]: 1.03-7.45, p=0.0426), age(OR:0.92, CI: 0.86-0.98, p=0.0154) were independent factor for early recovery of continence after RARP. Conclusions The modified bladder neck suspension procedure showed significantly better outcomes than the standard procedure in terms of the early recovery of urinary continence. keywords : RARP, continence