To evaluate the influence of posterior musculofascial plate reconstruction on early return of continence after radical prostatectomy.

A systematic research of the electronic databases including Pubmed, Embase, Cochrane Library, Web of Scince, CNKI and Wanfang database (from the data of their establishments to January 2018) was given about studies which had compared early return of continence between posterior musculofascial plate reconstruction prostatectomy and conventional prostatectomy. A Meta-analysis was conducted using Review Manager 5.3 software.

A total of 22 clinical studies were enrolled, including 3 randomised controlled trials, 5 prospective studies and 14 retrospective studies. A total of 3 594 patients, of whom 2 021 were reconstruction group and the other 1 573 were standard group. Reconstruction group is beneficial than standard group in 3-7 d, 30 d, 90 d, 180 d continence (OR=3.14, 3.15, 3.01, 2.5; P<0.05) and escaping urinary leakage (OR=0.39, P<0.05) after radical prostatectomy. There was no difference in 24 h continence, positive surgical margins, urinary retention, erectile function and bladder neck stricture (OR=1.66, 1.03, 1.38, 0.50, 1.45; P>0.05).

Reconstruction technique is benificial for urinary continence and escaping urinary leakage than standard prostotactomy, and has the same safty on positive surgical margins, urinary retention, erectile function and bladderneck stricture compared with standard prostatectomy.