No abstract

Introduction The Erection Hardness Score (EHS) is a one-item questionnaire that assesses rigidity on a 4-point scale. Aim To perform a validation of a Spanish version of the EHS by comparison with the International Index of Erectile Function (IIEF) questionnaire. Methods Validation of the EHS included: (i) professional translation of the scale; (ii) scientific evaluation of the translation from four independent urologists; (iii) assessment on five individuals to test correct comprehension and idiomatic adequacy (iv) validation of the EHS by a cross-sectional, multicenter comparison with the IIEF. Main Outcome Methods Patients were required to respond to a Spanish version of the EHS and IIEF. Statistic correlation was carried out between the EHS score and IIEF-erectile function domain (EF) score. Results A total of 125 patients were recruited. Overall prevalence of erectile dysfunction (ED) by the EHS questionnaire was of 80.2% patients (n = 97). Mean EHS was 2.74 ± 0.97. Mean IIEF-EF score was 17.4 ± 9.5. The EHS showed good reliability. The rate of missing responses to the EHS questionnaire was 0%. A one-factor analysis of variance was performed between the EHS and EF subdomain of IIEF (P = 0.000). Pearson’s correlation coefficient between EHS and EF subdomain of IIEF was 0.834, P < 0.01. Conclusions The EHS is a reliable tool to test ED and its Spanish version was satisfactorily understood by patients and correlated with IIEF-EF.

Robotic radical prostatectomy is a safe and reproducible procedure with optimal functional and oncological results, a shorter learning curve, greater comfort and vision for surgeons, and a complication rate similar to and even better than reported for open and laparoscopic surgery series. Complications decrease with the learning curve, but surgical team experience continues to be the key factor to achieve better results.

Introducción: La prostatectomía radical retropúbica (PRR) es el patrón oro para el tratamiento quirúrgico del cáncer de próstata organoconfinado. Se están desarrollando técnicas quirúrgicas menos invasivas, como prostatectomía radical laparoscópica (PRL) y la prostatectomía radical asistida por robot (PRAR). El objetivo del estudio es comparar los

Laparoscopic radical prostatectomy requires a longer learning curve than robotic-assisted prostatectomy. Operative time in RALP procedures was comparable to RRP cases. RALP showed benefits in terms of continence and intraoperative bleeding.