Oncologic results, functional outcomes, and complication rates of robotic-assisted radical prostatectomy: multicenter experience in Turkey including 1,499 patients

Taşçı, Ali İhsan; Tüfek, İlter; Gümüş, Eyüp; Canda, Abdullah Erdem; Tuğcu, Volkan; Atug, Fatih; Boylu, Uğur; Akbulut, Ziya; Şahin, Selçuk; Şimşek, Abdülmuttalip; Kural, Ali Rıza

doi:10.1007/s00345-014-1393-3

Cited by 23 publications

(10 citation statements)

References 38 publications

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“…Our sexual function outcomes were similar to other nonselected RARP cohorts from high‐volume centres (Tasci et al, ; Tholomier et al, ); at 12 months post‐operatively, the overall mean sexual function score in nerve‐sparing patients was 45.0 ± 30.0, and the median score was 40.…”

Section: Discussionsupporting

confidence: 85%

Sexual function recovery after robot‐assisted radical prostatectomy: Outcomes from an Italian referral centre and predicting nomogram

et al. 2019

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Aims of this study were to assess sexual recovery after robotic‐assisted radical prostatectomy (RARP) and to build a nomogram predicting 1‐year sexual function. From May 2015 to July 2016, all patients eligible for RARP at our institution were invited to enter the study. The Expanded Prostate cancer Index Composite (EPIC) questionnaire was administered pre‐operatively, then at 45 days, and at 3, 6, 9, and 12 months post‐operatively. According to sexual function scores, patients were divided into four classes. Multivariate analysis was used to investigate the influence of patient‐ and disease‐related features on sexual recovery. A total of 643 patients were included. Age was associated with baseline potency (p < .0001). Bioptic Gleason score (GS; p = .0002), American Society of Anesthesiologists (ASA) score ( = .002ASA Physical Status Classification System ) and Charlson Comorbidity Index (CCI; p = .02) were negatively associated with potency. Baseline sexual function was associated with potency recovery. A nomogram resulted from fitting a proportional odds logistic model for ordinal outcomes, with 1‐year sexual function as a dependent variable and baseline sexual potency, age, body mass index (BMI), clinical stage, biopsy GS, initial prostate‐specific antigen (iPSA), ASA score, and CCI as predictors. After further validation, this nomogram could be a useful tool for the pre‐operative counselling.

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Section: Discussionsupporting

confidence: 85%

Sexual function recovery after robot‐assisted radical prostatectomy: Outcomes from an Italian referral centre and predicting nomogram

et al. 2019

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“…Wedmid et al [25] reported that the incidence of rectal injury during RARP is 0.17% based on a large number of 6,650 RARP cases in the USA. In the multicenter experience of 1,499 patients who underwent RARP by Tasci et al [26] , the incidence of rectal injury is 0.13%, which is similar to that in the current study (0.18%) where most procedures were performed by surgeons during their learning curve. Previous ORP [27][28][29][30] and standard LRP [31][32][33] series showed incidences of 0.5 and 0.7-2.0%, respectively.…”

Section: Discussionsupporting

confidence: 69%

Impact of Surgeon and Hospital Volume on the Safety of Robot-Assisted Radical Prostatectomy: A Multi-Institutional Study Based on a National Database

Hirasawa

Yoshioka

Nasu³

et al. 2017

Urol Int

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Introduction: We aimed to perform a multi-institutional study using a national database led by the Japanese Society of Endourology to investigate the effect of surgeon or hospital volume on the safety of robot-assisted radical prostatectomy (RARP). Materials and Methods: Clinical data of 3,214 patients who underwent RARP for the treatment of clinically localized prostate cancer between April 2012 and March 2013 in Japan were evaluated. Surgical outcomes and all intra- and perioperative complications were collected. Results: The intraoperative complication rate was 0.56%. In a total number of 241 patients, 261 perioperative complications were observed. The following percentages of patients presented the Clavien-graded complications: 7.2%, grades 1-2; 0.84%, grade 3; and 0.093%, grade 4a. No cases of multiple organ dysfunction or death (grades 4b and 5) were found. Multivariable logistic regression analysis showed that the hospital volume (OR 3.6; p = 0.010) for intraoperative complications and surgeon volume (OR 0.19; p < 0.0001) and extended lymph node discectomy (OR 3.9; p < 0.0001) for perioperative complications were significant independent risk factors. Conclusions: Hospital volume for intraoperative complications and surgeon volume and extended lymph node dissection for perioperative complications were significantly associated with increased risk of each complication in RARP.

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“…Besides oncological outcomes, RP might be associated with urinary incontinence and erectile dysfunction (ED), which both represent functional impairments in regard to postoperative quality of life [2,3]. According to recent guidelines and reports in the literature, extended pelvic lymph node dissection (ePLND) is recommended in intermediate-and high-risk PCa according to D'Amico [4,5].…”

Section: Introductionmentioning

confidence: 99%

Extended versus limited pelvic lymph node dissection during bilateral nerve-sparing radical prostatectomy and its effect on continence and erectile function recovery: long-term results and trifecta rates of a comparative analysis

Hatzichristodoulou

Wagenpfeil

et al. 2015

World J Urol

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Oncologic results, functional outcomes, and complication rates of robotic-assisted radical prostatectomy: multicenter experience in Turkey including 1,499 patients

Abstract: Our analyses including high-volume centers, which is the first largest series in Turkey, show that RARP is a safe procedure, has low PSM rates, high continence, and potency rates for the treatment of localized PC at experienced centers.

Cited by 23 publications

References 38 publications

Sexual function recovery after robot‐assisted radical prostatectomy: Outcomes from an Italian referral centre and predicting nomogram

Sexual function recovery after robot‐assisted radical prostatectomy: Outcomes from an Italian referral centre and predicting nomogram

Impact of Surgeon and Hospital Volume on the Safety of Robot-Assisted Radical Prostatectomy: A Multi-Institutional Study Based on a National Database

Extended versus limited pelvic lymph node dissection during bilateral nerve-sparing radical prostatectomy and its effect on continence and erectile function recovery: long-term results and trifecta rates of a comparative analysis

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