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Dr. Razdan’s recent publication, “Robot assisted laparoscopic radical prostatectomy with maximal urethral length preservation technique preserves penile length,” was accepted by the Journal of Robotic Surgery.
In this video, Dr. Razdan gives commentary on the recently accepted manuscript in the Journal of Robotic Surgery on Maximal Urethral Length Preservation (MULP) and maintenance of penile length post radical prostatectomy. Dr. Razdan and his team first published their data on Maximal Urethral Length Preservation or MULP in 2014. What he found was that it was an easily reproducible technique in preserving intra-prosthetic urethral length, which in the long term turned out to be one of the factors in very early return of continence in patients post robotic radical prostatectomy. Dr. Razdan then started looking at other factors that are important in patient satisfaction, post robotic radical prostatectomy.
Continence was an essential factor, preservation of erectile function was an important factor, but at the same time, there was some dissatisfaction with the perceived length of the penis. This has been discussed at various forums and various journals regarding the shortening of a penile length or the perceived penile length and the anatomical actual penile length in patients post radical prostatectomy. After looking at their data, Dr. Razdan prospectively went ahead and did a study in which he measured the stretched flaccid penile length in patients before and after robotic radical prostatectomy. Dr. Razdan didn’t have a control group in this case because all of their patients undergo maximal urethral length preservation. So, in turn, it was a study of our outcomes, and what they found was that Maximal Urethral Length Preservation preserves penile length or a stretched flaccid penile length in the majority of their patients. This was a statistically significant and a complete game-changer.
They did find that multi-parametric 3T MRI prior to surgery helped in getting the maximal urethral length, so that they had a roadmap as to where the cancer was present. Dr. Razdan and his team were very happy to present the data and state that Maximal Urethral Length Preservation is amongst the gamut of different techniques that have been used to preserve continence and return of early continence. This is the only proven technique that, besides leading to early return of continence, also preserves penile length, which is a significant source of satisfaction in patients undergoing a robotic radical prostatectomy. To learn more about the MULP technique during Radical Robotic Prostatectomy, call 305-251-8650 and contact us to learn more.