Laparoscopic Prostate-Sparing Radical Cystectomy: The Montsouris Technique and Preliminary Results

Arroyo, Carlos; Andrews, Henry Russell; Rozet, François; Cathelineau, Xavier; Vallancien, Guy

doi:10.1089/end.2005.19.424

Cited by 47 publications

(20 citation statements)

References 13 publications

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“…The impact on removal of possible prostate cancer is less pronounced due to its predominance in the peripheral zone. Data on prostate sparing purely by laparoscopic Millin prostatectomy are available from Arroyo et al [56] from the same institution. All 25 patients were fully continent both during the day and at night.…”

Section: Prostate-sparing Techniques and Functional Outcomesmentioning

confidence: 99%

“…From a functional point of view, patients wishing to father a child spontaneously should probably have total prostate sparing because it offers the greatest chance of antegrade ejaculation [16,17,55]. All other techniques (TURP or Millin prostatectomy, both open and laparoscopic) have a very high chance of resulting retrograde ejaculation [24,33,37,56]. If these techniques are used, methods of assisted reproduction are likely to be necessary.…”

Section: Prostate-sparing Techniques: Which For Whom?mentioning

confidence: 99%

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Prostate-Sparing Radical Cystectomy for Selected Patients with Bladder Cancer

et al. 2013

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Objectives: To review the current literature about prostate-sparing radical cystectomy (PSRC) and its potential for management of a selected population of patients with bladder cancer. Materials and Methods: The PubMed, EMBASE and Scopus databases were searched for the key words ‘prostate', ‘sparing' and ‘cystectomy' between 1984 and 2012. Articles in English, French and German were considered relevant for review. Institutional experience with this procedure was also included. Results: PSRC remains a controversial procedure for the treatment of patients harboring bladder carcinoma, mainly due to insufficient knowledge of clear indications and/or contraindications. Experience with PSRC is still limited to very few referral centers and there is a lack of large series with long-term outcomes. The potential for excellent functional outcomes must be carefully balanced against inconsistent oncological results. Conclusions: PSRC may become an option for carefully selected and extensively informed patients. Suggestions for possible indications and contraindications are presented.

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Section: Prostate-sparing Techniques and Functional Outcomesmentioning

confidence: 99%

Section: Prostate-sparing Techniques: Which For Whom?mentioning

confidence: 99%

Prostate-Sparing Radical Cystectomy for Selected Patients with Bladder Cancer

et al. 2013

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“…While the oncological validity of this approach remains controversial and the technique should be applied only in highly selected patients, it is technically feasible via a laparoscopic approach. The largest series of prostate-sparing cystectomy reports maintenance of pre-operative potency in 84% of patients and continence in all patients without pads [47].…”

Section: Prostate Sparingmentioning

confidence: 99%

Laparoscopic Radical Cystectomy: Current Status, Outcomes, and Patient Selection

Irwin

Gill

Haber

et al. 2009

Curr. Treat. Options in Oncol.

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Radical cystectomy remains the gold standard for the treatment of muscle invasive and high-risk urothelial cancers of the bladder. In attempts to decrease the morbidity of the procedure, minimally invasive techniques have been employed for both the extirpative as well as the reconstructive portions of the procedure. Current laparoscopic and robotic-assisted techniques allow for the performance of these procedures in selected patients with improvements in estimated blood loss while adhering to the oncologic principles required for cancer control including obtaining negative margins and performing an adequate extended lymph node dissection. While completely intracorporeal approaches are technically feasible, they have been, thus far, associated with significant increases in operative times and perioperative complications. Open-assisted approaches in which the extirpative portions of the case (i.e. radical cystectomy, extended lymph node dissection) are completed laparoscopically and the urinary reconstruction is performed in a limited open fashion appear to provide the best outcomes with current techniques. Intermediate cancer outcomes are promising when compared to their open surgical counterparts. While this approach remains investigational, long-term outcomes are currently being accrued and may allow for the shift of the standard of care to minimally invasive approaches for select patients as has been the case in renal and prostatic cancers.

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“…The continence rate for prostatesparing cystectomy in most series is excellent. [4][5][6][21][22][23][24][25][26][27] Of 10 series, 9 reported daytime continence rates of at least 94%. Nighttime continence rates were at least 94% in 6 series and all but 1 reported rates greater than 77%.…”

Section: Oncological Outcomesmentioning

confidence: 99%

Is sparing the prostate still considered radical cystectomy? The case against prostate-sparing cystectomy for bladder cancer

Kotb

Aprikian

2013

CUAJ

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Laparoscopic Prostate-Sparing Radical Cystectomy: The Montsouris Technique and Preliminary Results

Abstract: We have been performing laparoscopic prostate-sparing radical cystectomy for more than 2 years and have found it oncologically safe and reproducible with promising functional benefits. It presents a good option for properly selected patients.

Cited by 47 publications

References 13 publications

Prostate-Sparing Radical Cystectomy for Selected Patients with Bladder Cancer

Prostate-Sparing Radical Cystectomy for Selected Patients with Bladder Cancer

Laparoscopic Radical Cystectomy: Current Status, Outcomes, and Patient Selection

Is sparing the prostate still considered radical cystectomy? The case against prostate-sparing cystectomy for bladder cancer

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