Reporting Complications After Open Radical Retropubic Prostatectomy Using the Martin Criteria

Löppenberg, Björn; Noldus, Joachim; Holz, Alexander; Palisaar, Rein-Jüri

doi:10.1016/j.juro.2010.05.032

Cited by 32 publications

(26 citation statements)

References 24 publications

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“…The importance of neurovascular bundle preservation for recovery of potency is well recognized. 32,33 Our neurovascular bundle preservation rate was close to 70%, which is in accordance with many contemporary reported series that have reported rates of 53 to 80%. 32--34 In this study, the rates of nerve preservation were similar in both groups, indicating that it did not have an impact on the postoperative differences observed between them.…”

Section: 15--1729supporting

confidence: 91%

Early postoperative pelvic-floor biofeedback improves erectile function in men undergoing radical prostatectomy: a prospective, randomized, controlled trial

et al. 2012

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Erectile dysfunction (ED) and urinary incontinence are common complications following radical prostatectomy (RP). Although pelvic-floor biofeedback training (PFBT) may improve urinary continence following RP, its effects on the recovery of potency are unknown. Fifty-two patients selected for RP were prospectively randomized for a treatment group (n ¼ 26) receiving PFBT once a week for 3 months and home exercises or a control group (n ¼ 26), in which patients received verbal instructions to contract the pelvic floor. Erectile function (EF) was evaluated with the International Index of Erectile Function-5 (IIEF-5) before surgery and 1, 3, 6 and 12 months postoperatively. Patients were considered potent when they had a total IIEF-5 score 420. Continence status was assessed and defined as the use of no pads. Groups were comparable in terms of age, body mass index, diabetes, pathological tumor stage and neurovascular bundle preservation. A significant reduction in IIEF-5 scores was observed after surgery in both groups. In the treatment group, 8 (47.1%) patients recovered potency 12 months postoperatively, as opposed to 2 (12.5%) in the control group (P ¼ 0.032). The absolute risk reduction was 34.6% (95% confidence interval (CI): 3.8--64%) and the number needed to treat was 3 (95% CI: 1.5--17.2). A strong association between recovery of potency and urinary continence was observed, with continent patients having a 5.4 higher chance of being potent (P ¼ 0.04). Early PFBT appears to have a significant impact on the recovery of EF after RP. Urinary continence status was a good indicator of EF recovery, with continent patients having a higher chance of being potent. 1 The most common long-term complications after prostatectomy (RP) are urinary incontinence and erectile dysfunction (ED).2 ED is estimated to affect 26--100% of patients after surgery. 3,4 The main cause of ED after RP is neurogenic, because of intraoperative injury to the neurovascular bundle.

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Section: 15--1729supporting

confidence: 91%

Early postoperative pelvic-floor biofeedback improves erectile function in men undergoing radical prostatectomy: a prospective, randomized, controlled trial

et al. 2012

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“…This finding has been confirmed by other reports. 30 Löppenberg et al 31 reported that the most common complication in their research was anastomotic leakage, which occurred in 424 (14.7%) patients. In our study, 13 (3.4%) cases of anastomotic leakage were reported.…”

Section: Discussionmentioning

confidence: 95%

“…Loeb et al 37 concluded that 96% of patients were dry, which is a satisfactory result regarding urinary continence; no difference was found between patients with T 2 vs. T 3 stage PCa. 31 In a study with a total of 842 cT 3 patients undergoing RP, 79% of cases were dry or used urine pads to prevent incontinence after one year of follow-up. 12 Penson et al…”

Section: Discussionmentioning

confidence: 99%

Perioperative complications of radical retropubic prostatectomy in patients with locally advanced prostate cancer: a comparison with clinically localized prostate cancer

Yao¹,

Liu²,

Zhang³

et al. 2012

Asian J Androl

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“…The same classification system has recently been used by urologists to grade postoperative complications following radical prostatectomy, laparoscopic live donor nephrectomy, laparoscopic pyeloplasty, laparoscopic and open partial nephrectomy and most recently Transurethral Resection of Prostate (7,8,9,10). Nephrectomy is the common major surgery in urology; henceforth we retrospectively analyzed our data in all patients who underwent nephrectomy.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Complications After Nephrectomy Using Modified Clavien-Dindo Classification- A Retrospective Study

Sundara¹,

Tyagi²

2016

IOSR

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Reporting Complications After Open Radical Retropubic Prostatectomy Using the Martin Criteria

Cited by 32 publications

References 24 publications

Early postoperative pelvic-floor biofeedback improves erectile function in men undergoing radical prostatectomy: a prospective, randomized, controlled trial

Early postoperative pelvic-floor biofeedback improves erectile function in men undergoing radical prostatectomy: a prospective, randomized, controlled trial

Perioperative complications of radical retropubic prostatectomy in patients with locally advanced prostate cancer: a comparison with clinically localized prostate cancer

Analysis of Complications After Nephrectomy Using Modified Clavien-Dindo Classification- A Retrospective Study

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