The effect of prostate weight on the outcomes of robot-assisted radical prostatectomy

Boylu, Uğur; Turan, Turgay; Başataç, Cem; Önol, Fikret Fatih; Gümüş, Eyüp

doi:10.5152/tud.2013.055

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…The mean console time and mean estimated blood loss were significantly increased with increasing prostate weight in our study. Boylu et al [9] and Yasui et al [10] reported that the greater the prostate weight, the longer the operative time, and Hirasawa et al [11] reported that the greater the prostate weight, the more the blood loss, as it is thought that men with enlarged prostate glands usually have more vascularity and broader resection margins. However, the transfusion rate was not significantly associated with the prostate weight, so even though there is a greater amount of bleeding with a greater prostate weight, it would not be clinically meaningful.…”

Section: Discussionmentioning

confidence: 99%

Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy

et al. 2019

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BackgroundRobot-assisted radical prostatectomy (RARP) is performed by urologists as one of the surgical procedures for treating prostate cancer. Numerous studies have been published with regard to the impact of prostate weight on performing RARP but were limited by the insufficient number of patients and use of the transperitoneal approach. This study aimed to determine the effect of prostate gland weight on the surgical and short-term oncological outcomes of RARP using the extraperitoneal approach.MethodsIn total, 1168 patients who underwent extraperitoneal RARP (EP-RARP) performed by a single surgeon at Yonsei University Severance Hospital between May 2009 and May 2016 were included in the study. The patients were divided into 4 groups according to the prostate weight measured by transrectal ultrasonography preoperatively. Intraoperative and postoperative outcomes were analyzed retrospectively. One-way analysis of variance and the chi-square test were used in the statistical analyses.ResultsAge, the Gleason score, clinical stage, and pathological stage were significantly different. Patients with a larger prostate size had a longer console time and higher estimated blood loss (P < 0.05). There were no significant differences between the 4 groups in length of hospital stay, duration of catheterization, blood transfusion, body mass index, prostate-specific antigen (PSA) level, history of abdominal surgery, intraoperative complications, positive surgical margin, incidence of lymphocele, and PSA recurrence after 1 year.ConclusionsThe console time and estimated blood loss were significantly increased with a larger prostate size. However, there were no significant differences in the oncologic outcome and intraoperative complications, suggesting that EP-RARP requires meticulous bleeding control in patients with a prostate weighing > 75 g, and if appropriate management is implemented for blood loss intraoperatively, EP-RARP can be performed regardless of the prostate size.

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Section: Discussionmentioning

confidence: 99%

Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy

et al. 2019

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“…At 6 months, the continence rate was 97% in the group with lower prostate volume and 84% in the group with higher volume (p<0.05) (11). In addition to studies showing that smaller prostate volume has a favorable impact on post-RALRP urinary continence, the literature also includes studies in which prostate volume was not a significant factor in continence (12,13,14). Similar to the work of Labanaris et al (13) and Yasui et al (14) the results of our study suggest that prostate volume is not a determining factor in postoperative continence.…”

Section: Discussionmentioning

confidence: 99%

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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The effect of prostate weight on the outcomes of robot-assisted radical prostatectomy

Cited by 2 publications

References 17 publications

Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy

Effect of prostate gland weight on the surgical and oncological outcomes of extraperitoneal robot-assisted radical prostatectomy

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

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