Urinary continence and erectile dysfunction results in robot-assisted radical prostatectomy with endopelvic fascia preservation

Introduction: Radical prostatectomy is the treatment of choice for patients with organ-confined prostate cancer due to its oncological benefits and survival. With advancement technology, surgical techniques have been modified, robot-assisted radical (RARP) currently procedure most advanced technology. Due multiple advantages, such as short-term functional results, shorter hospital stay minimal invasiveness, it constitutes a valid therapeutic option consider this group patients.
 Objective: To compare results obtained in urinary continence erectile dysfunction after RARP standard da Vinci® system 4 arms, between 43 who underwent said procedure, without preservation endopelvic fascia 2018, 68 same preservation, January 2019 February 2021, all at Hospital Carlos Andrade Marín, Quito.
 Methodology: A retrospective longitudinal descriptive observational study was made, comparison surgery had but year 2019.
 Results: One hundred eleven surgeries technique were performed. Forty-three (37.8%) made (61.3%) preservation.
 At first month follow-up, 25 (58%) group, presented severe dysfunction, 11 (26%) moderate 6 (14%) mild 1 (2%) dysfunction. months 2 23 remained Of 54 (80%) incontinence, 3 (4%) completely continent making use technique. Furthermore, 9 90% complete 10% incontinence. Fifty six percent sexual postoperative month. However, pharmacological treatments, only 19% dysfunction.
 Conclusion: safe minimally invasive technique, improves short long terms, respect function. Endopelvic could improve term