Robot-assisted radical prostatectomy in patients with a history of endoscopic treatment for benign hyperplasia of the prostate
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Data di Pubblicazione:
2011
Citazione:
Robot-assisted radical prostatectomy in patients with a history of endoscopic treatment for benign hyperplasia of the prostate / B. Rocco, P. Acquati, G. Albo. ((Intervento presentato al 21. convegno Annual meeting of the Italian society of uro-oncology tenutosi a Napoli nel 2011.
Abstract:
Aim: The purpose of this study was to determine whether
previous prostate surgery has an adverse effect on the
perioperative, histopathological and functional outcomes of
robot-assisted radical prostatectomy (RARP). Patients and
Methods: We retrospectively identified 42 patients (Group 1)
who had a history of endoscopic prostate surgery for the
treatment of benign prostate hyperplasia (BPH). We performed
one-to-one matching based upon ten variables (age, BMI,
PSA, SHIM, AUA-SS, c stage, biopsy Gleason score, median
lobe presence, pathological stage and the extent of nervesparing)
using a propensity score matching algorithm to
generate a control group (Group 2). The perioperative,
histopathological and functional outcomes were compared
between these groups. All the patients were evaluated for
continence outcomes, while only those patients who had a
preoperative SHIM score of 17 and had a nerve-sparing
surgery (unilateral, bilateral or partial) were examined for
potency outcomes. Results: The patient demographics after
matching are listed in Table I. The perioperative
histopathological and functional outcomes were evaluated.
There was no statistically significant difference at any point in
time for either continence or potency outcomes Conclusion:
RARP is a safe and effective procedure in patients who have
a history of endoscopic prostate surgery. Although the OR
time is higher in these patients, the PSM rates, complications,
histopathological and functional outcomes are comparable to
those of patients who have no prior prostate surgery.
Tipologia IRIS:
14 - Intervento a convegno non pubblicato
Elenco autori:
B. Rocco, P. Acquati, G. Albo
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