Perioperative, functional, and oncologic outcomes in patients undergoing robot-assisted radical prostatectomy previous transurethral resection of prostate: a systematic review and meta-analysis of comparative trials

Liu, Yang; Qin, Jiao; Li, Kunpeng; Wen, Zhi; Huang, Jing; Jiang, Yu; Chen, Caixia; Wang, Chongjian; Wang, Li; Wang, Jiahao; Yang, Xuesong

doi:10.1007/s11701-023-01555-5

J Robotic Surg

2023

DOI: 10.1007/s11701-023-01555-5

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Perioperative, functional, and oncologic outcomes in patients undergoing robot-assisted radical prostatectomy previous transurethral resection of prostate: a systematic review and meta-analysis of comparative trials

Yang Liu

Jiao Qin

Kunpeng Li

et al.

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2024

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Outcomes of robot-assisted radical prostatectomy in men after trans-urethral resection of the prostate: a matched-pair analysis

Carbin,

Abou Chedid,

Hindley

et al. 2024

J Robotic Surg

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Prior history of transurethral resection of the prostate (TURP) can complicate Robot-assisted radical prostatectomy (RARP). Very few studies analyse the outcomes of RARP in men with a prior history of TURP. MethodsWe analysed the oncological and functional outcomes of RARP in post-TURP men from our prospectively maintained database. We included the RARP data from January 2016 to January 2022. Thirty men who had RARP with a prior history of TURP were identi ed (Group 2). They were matched using R software and propensity score matching to 90 men with no previous TURP (Group-1). The groups were matched for age, body mass index (BMI) and D'Amico risk category in a 1:3 ratio. The two-year oncological and functional outcomes were compared. ResultsOverall, the study found no signi cant difference between the groups in the preoperative parameters, such as BMI, age, clinical stage, prostate volume, and D'amico risk grouping. There was no difference in the estimated blood loss. The TURP group had a lower chance of having a nerve spare (p = 0.03). The median console time was longer in the TURP group (140 minutes (120,180) versus 168 (129,190) p = 0.058). The postoperative complications (Clavien-Dindo 3a 2% versus 6.7%) and hospital stay (median of 2 days), positive surgical margins, continence, and biochemical recurrence rates at 3, 12, and 24 months were not statistically different between the groups. ConclusionIn high-volume centres, the oncological and continence outcomes of RARP post-TURP are not inferior to that of men without prior TURP.

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Outcomes of robot-assisted radical prostatectomy in men after trans-urethral resection of the prostate: a matched-pair analysis

Carbin,

Abou Chedid,

Hindley

et al. 2024

J Robotic Surg

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Recent Advances in Diagnosing and Treating Post-Prostatectomy Urinary Incontinence

Li,

Xiao,

Shen

et al. 2024

Ann Surg Oncol

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Perioperative, functional, and oncologic outcomes in patients undergoing robot-assisted radical prostatectomy previous transurethral resection of prostate: a systematic review and meta-analysis of comparative trials

Cited by 2 publications

References 40 publications

Outcomes of robot-assisted radical prostatectomy in men after trans-urethral resection of the prostate: a matched-pair analysis

Outcomes of robot-assisted radical prostatectomy in men after trans-urethral resection of the prostate: a matched-pair analysis

Recent Advances in Diagnosing and Treating Post-Prostatectomy Urinary Incontinence

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