Robotic radical prostatectomy has become the "Gold Standard" treatment for localized prostate cancer. The introduction of robotic surgery to the treatment of prostate cancer has reduced the surgical morbidity of radical prostatectomy but until recently early post prostatectomy urinary incontinence was a major cause of morbidity from radical prostatectomy. Efforts have been made to develop techniques to hasten return of urinary control.

Several authors have recently demonstrated improved early continence with either an anterior, posterior or combined reconstruction of the urethral-pelvic attachments. In this study, we compare 3-month urinary function and continence data on a series of prostate cancer patients who underwent robotic prostatectomy with posterior reconstruction and anterior suspension with single anastomotic suture (PRASS).

A prospective cohort of fifty prostate cancer patients underwent robotic prostatectomy with a PRASS reconstruction and were compared to 50 control prostate cancer patients who underwent standard robotic prostatectomy. Urinary Continence was defined as use of zero to 1 urinary pad and was evaluated using the EPIC-26 questionnaire. A weighted summary score was created and group differences were compared using repeated measures analysis of variance model.