Retrospective Analysis of Factors Affecting Continence after Robotic Radical Prostatectomy

Törer, Buğra Doğukan; Ekşi, Mithat; Kargı, Taner; Sökmen, Doğukan; Şimşek, Abdülmuttalip; Evren, İ̇smail; Şahin, Selçuk; Tuğcu, Volkan

doi:10.5152/jarem.2017.1178

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…The authors reported that PSA below 10 ng/ mL and age younger than 60 were correlated with favorable early functional outcomes (22). On the other hand, Torer et al (23) found that preoperative serum PSA and Gleason score did not affect continence in 385 patients operated for RALRP. In our study, we found no significant difference in PSA level between patients with and without postoperative urinary incontinence.…”

Section: Discussionmentioning

confidence: 98%

Analysis of Factors Affecting Functional Outcomes in Robotic-assisted Laparoscopic Radical Prostatectomy

Kızılay¹,

Ismaylov²,

Şimşir³

et al. 2018

uob

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Globally, prostate cancer (PCa) is the 4 th most common type of cancer among both genders and second most common among males (1). PCa is often diagnosed in young and healthy men, and in addition to providing long-term cancer control, preserving patients' quality of life is also an important goal. Radical prostatectomy (RP) is considered the gold standard for surgical treatment of localized PCa (2). RP outcomes are generally assessed in terms of urinary continence, potency, and cancer control, referred to as the "trifecta" (3). After Walsh and Donker (4) developed the anatomic nerve-sparing technique for retropubic RP (RRP), RRP became the gold standard, most widely used surgical method that provides excellent cancer control for clinically localized PCa (5). A minimally invasive method for PCa treatment aiming to reduce the morbidity of RRP was first described in 1992 by Schuessler et al. (6). The authors concluded that laparoscopic RP (LRP) was Objective: In addition to ensuring cancer control, prevention of incontinence and erectile dysfunction, which significantly impact patients' quality of life, is also an important issue in robot-assisted laparoscopic radical prostatectomy (RALRP) operations. In this study, we aimed to evaluate the factors affecting postoperative urinary continence and erectile function in patients who underwent RALRP due to localized prostate cancer in our clinic. Materials and Methods: Our study included 439 patients who were diagnosed with stage 1 prostate cancer and underwent RALRP. Patients' age, preoperative prostate-specific antigen (PSA) value, prostate volume, radical prostatectomy material Gleason score, operative time, transperitoneal surgical approach (posterior or anterior), and surgical margin and extraprostatic extension statuses were recorded. Postoperative continence and erectile function status of the patients were questioned and recorded via telephone interviews and in outpatient clinic follow-up. Patients were divided into groups according to postoperative incontinence and erectile dysfunction status and the variables were compared between the groups. Results: There was no statistically significant difference between the continent and incontinent groups in terms of age, preoperative PSA, prostate volume, operative time, postoperative Gleason score, surgical margin status, extraprostatic extension status, or anterior or posterior approach (p>0.05). There was no statistically significant difference between the groups with and without erectile dysfunction in terms of prostate volume, operative time, postoperative Gleason score, surgical margin status, or extraprostatic extension status (p>0.05), while there were statistically significant differences between the 2 groups in terms of age (p<0.001), preoperative PSA value (p=0.042), and surgical technique (p<0.001). Conclusion: We concluded that patient-and disease-related factors did not significantly affect postoperative urinary continence in patients undergoing RALRP due to prostate cancer, while patient age, preoperative PS...

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Section: Discussionmentioning

confidence: 98%

Analysis of Factors Affecting Functional Outcomes in Robotic-assisted Laparoscopic Radical Prostatectomy

Kızılay¹,

Ismaylov²,

Şimşir³

et al. 2018

uob

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“…Robotic surgery has gained significant popularity within the last decade and included in the daily practice of urology (6,7,8,9). Also in our country, robotic surgery is widely used and series with high number of patients are contributing to the literature (10,11). In series with follow-up periods longer than five years, it was determined that there was no difference between open surgery and robotic surgery in terms of oncological results after radical prostatectomy, radical cystectomy and partial nephrectomy (12,13,14).…”

Section: Discussionmentioning

confidence: 99%

Complications of Robotic Surgery in Urology: Our Experience of 342 Procedures Including the Learning Curve

İslamoğlu¹,

Anıl²,

Karamık³

et al. 2018

jus

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Retrospective Analysis of Factors Affecting Continence after Robotic Radical Prostatectomy

Cited by 2 publications

References 18 publications

Analysis of Factors Affecting Functional Outcomes in Robotic-assisted Laparoscopic Radical Prostatectomy

Analysis of Factors Affecting Functional Outcomes in Robotic-assisted Laparoscopic Radical Prostatectomy

Complications of Robotic Surgery in Urology: Our Experience of 342 Procedures Including the Learning Curve

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