Open radical prostatectomy reproducing robot-assisted radical prostatectomy: Involving antegrade nerve sparing and continuous anastomosis

Kwon, Se Yun; Lee, Jun Nyung; Ha, Yun‐Sok; Choi, Seock Hwan; Kim, Tae‐Hwan; Kwon, Tae Gyun

doi:10.1590/s1677-5538.ibju.2016.0627

Cited by 7 publications

(3 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All participants provided written informed consent. RP with bilateral nerve-sparing was performed using the open technique [ 17 ]. The decision of applying nerve-sparing was mainly made based on the status of the tumor during surgery.…”

Section: Methodsmentioning

confidence: 99%

The assessment of erectile dysfunction after radical prostatectomy using pudendal somatosensory evoked potential

Kwon,

Park

2023

PLoS ONE

Self Cite

View full text Add to dashboard Cite

Erectile dysfunction in patients who underwent radical prostatectomy was evaluated with pudendal somatosensory evoked potentials (PSEP) to measure and predict erectile dysfunction objectively. Fifty-seven patients who completed requirements were included in the study. Patients were divided into 2 groups (potency/non-potency). Erectile function recovery was defined as question 2 and 3 on the IIEF-5 questionnaire at 12 months after surgery. The two-channel PSEP test was performed at the day before RP and 3–6 months after RP. Twenty patients were assigned to the potency group and 37 to the non-potency group. Mean age was less in the potency group. Other clinical variables were similar in two groups. The non-potency group had prolonged lumbar and cortical latencies in postoperative PSEP, and the mean differences of latencies between pre- and postoperative PSEP in lumbar and cortical regions were also greater in the non-potency group. Logistic regression analysis showed that age, lumbar post-operative latency, cortical post-operative latency, and difference of latency in lumbar region were associated with non-potency; odds ratios were 1.292 (p = 0.018), 0.425 (p = 0.047), 1.637 (p < 0.001), and 3.272 (p = 0.010), respectively. This study suggests that PSEP is an effective means of evaluating erectile dysfunction in prostate cancer patients after surgery.

show abstract

Section: Methodsmentioning

confidence: 99%

The assessment of erectile dysfunction after radical prostatectomy using pudendal somatosensory evoked potential

Kwon,

Park

2023

PLoS ONE

Self Cite

View full text Add to dashboard Cite

show abstract

“…Previously, we reported a modified technique for RARP and ORP at our institution. 14 Briefly, the bladder neck was dissected first. After the dissection of the vas deferens and seminal vesicle, the prostate was dissected in an antegrade fashion from the bladder neck with nerve sparing depending on the patient's cancer status.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Predictive Factors of De Novo Overactive Bladder After Radical Prostatectomy in Patients With Clinically Localized Prostate Cancer: A Prospective Observational Study

Lee

Kim

Byeon

et al. 2021

Korean J Urol Oncol

Self Cite

View full text Add to dashboard Cite

Prostate cancer (PCa) is a common cancer in men, and its incidence is rapidly increasing. 1 Although radical prostatectomy (RP) is considered the definitive standard treatment for clinically localized PCa, 2 it can cause surgical complications, including urinary incontinence and erectile dysfunction, adversely affecting the patients' quality of life (QoL). 3 Postprostatectomy incontinence is an especially well-recognized complication with a negative impact on the QoL. 4 Urinary incontinence is classified into stress urinary incontinence (SUI) and urge urinary incontinence (UUI); however, most studies on postprostatectomy incontinence have focused on SUI. Although several studies on SUI after RP were conducted, [5][6][7] patients can present with various 109 KJUO

show abstract

“…Recently, RALP procedure has become widely adopted, and RALP is now being applied to ORP. 13,14 Thus, we performed ORP in a manner based…”

mentioning

confidence: 99%

Initial Experiences of Retropubic Radical Prostatectomy Including Antegrade Nerve Sparing, Continuous Anastomosis, and Preservation of Endopelvic Fascia

Kwon

Lee

2020

Korean J Urol Oncol

Self Cite

View full text Add to dashboard Cite

Purpose: We compared retropubic radical prostatectomy (RRP) with various laparoscopic radical prostatectomy procedures with RRP as previous performed in our institution. Materials and Methods: Demographics, perioperative and functional outcomes of 78 patients that underwent modified RRP (mRP; N=53) or established RRP (eRP; N=25) at our institution from January 2013 to December 2018 were evaluated retrospectively. Postoperative incontinence and erectile dysfunction are involved functional outcomes. During the modified procedure, with preserving endopelvic fascia, the prostate was dissected in an antegrade fashion with bilateral nerve sparing, and then urethrovesical anastomosis was performed with continuous suture. Results: The mean age was older in mRP (68.7±5.3 years) than mRP (65.9±5.0 years) and mean prostate volume was larger in mRP (40.1±18.6 mL) than eRP (30.4±14.0 mL). Mean operative time was longer in eRP (227.0±111.1 minutes) than mRP (154.6±31.6 minutes) and estimated blood loss and complicate rate were similar in 2 groups. The pathologic stage was all T2 stage in eRP, however, in mRP T2 stage was 31 and T3 stage was 22. The pathologic Gleason score was higher in mRP than eRP (p=0.001). Positive surgical margin was significantly higher in mRP, however, biochemical recurrence was insignificantly higher in mRP. Incontinence rates at 3 and 12 months after eRP decreased from 96.0% to 28.0% and after mRP decreased from 49.1% to 7.5%. Overall postoperative potency rate at 12 months was significant different in eRP and mRP groups (8.0% and 34.0%). Conclusions: The mRP was found to have favorable functional outcome and short operative time. This technique might be adopted by inexperienced urologic surgeons as a standard procedure.

show abstract

Open radical prostatectomy reproducing robot-assisted radical prostatectomy: Involving antegrade nerve sparing and continuous anastomosis

Cited by 7 publications

References 31 publications

The assessment of erectile dysfunction after radical prostatectomy using pudendal somatosensory evoked potential

The assessment of erectile dysfunction after radical prostatectomy using pudendal somatosensory evoked potential

Predictive Factors of De Novo Overactive Bladder After Radical Prostatectomy in Patients With Clinically Localized Prostate Cancer: A Prospective Observational Study

Initial Experiences of Retropubic Radical Prostatectomy Including Antegrade Nerve Sparing, Continuous Anastomosis, and Preservation of Endopelvic Fascia

Contact Info

Product

Resources

About