The diffusion of minimally invasive radical prostatectomy in the United States: a case study of the introduction of new surgical devices

Anderson, Christopher B.; Elkin, Elena B.; Atoria, Coral L.; Eastham, James A.; Scardino, Peter T.; Touijer, Karim

doi:10.1038/pcan.2014.49

Cited by 4 publications

(2 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This rising trend is very different in other regions, for example, in Germany, the number of RP has dropped from 30 000 in 2008 to 20 000 in 2014 due to more conservative treatment strategies and without the influence of robotic technique on reimbursement. In fact, the diffusion of new minimally invasive techniques may have led to adverse patient outcomes due to rapid surgeon adoption and collective inexperience …”

Section: Introductionmentioning

confidence: 99%

“…In fact, the diffusion of new minimally invasive techniques may have led to adverse patient outcomes due to rapid surgeon adoption and collective inexperience. 3 Irrespective of controversies on surgical techniques, the etiology of postprostatectomy urinary incontinence (PPUI) after RP is multifactorial and relates to preoperative lower urinary tract function, operative technique, and altered anatomy. 4 PPUI is associated with a negative impact on quality of life (QoL) and may affect up to 87% of patients, depending on several factors such as definition of urinary incontinence (UI), how it is measured, and duration of follow-up.…”

mentioning

confidence: 99%

See 1 more Smart Citation

How can we prevent postprostatectomy urinary incontinence by patient selection, and by preoperative, peroperative, and postoperative measures? International Consultation on Incontinence‐Research Society 2018

Averbeck

Marcelissen

Anding

et al. 2019

Neurourology and Urodynamics

View full text Add to dashboard Cite

Aims: To review current prevention strategies for urinary incontinence among patients undergoing radical prostatectomy (RP). Methods: This is a consensus report of the proceedings of a research proposal from the annual International Consultation on Incontinence-Research Society (ICI-RS), 14 to 16 June 2018 (Bristol, UK): "How can we prevent postprostatectomy incontinence by patient selection, and by preoperative, peroperative, and postoperative measures?" Results: Several baseline parameters were proposed as predicting factors for postprostatectomy urinary incontinence (PPUI), including age, tumor stage, prostate volume, preoperative lower urinary tract symptoms, maximum urethral closure pressure, and previous transurethral resection of the prostate.More recently, magnetic resonance imaging has been used to measure the membranous urethral length and sphincter volume. Peroperative techniques include preservative and reconstructive approaches. Bladder neck preservation improved early (6 months), as well as long-term (>12 months) continence rates.Several prospective studies have reported earlier return of continence following preservation of puboprostatic ligaments, although no long-term data are available. Preservation of the urethral length yielded controversial outcomes.Concerning postoperative strategies, it is probably optimal to remove the catheter in a window between 4 and 7 days if clinically appropriate; however, more research in this regard is still required. Postoperative PFME (preoperative pelvic floor muscle exercise) appears to speed up the recovery of continence after RP.Conclusions: Conservative strategies to prevent PPUI include proper patient selection and PFME. Peroperative techniques have largely shown benefit in the short term. Postoperative complications and timing of trial without catheter can influence continence status. Future research initiatives must assess peroperative and postoperative measures, with longer-term follow-up.

show abstract

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%