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Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Baseline functional status may predict decisional regret following robotic prostatectomy
Hugh J Lavery1, Adam W Levinson, Adele R Hobbs
1Department of Urology, Mount Sinai Medical Center, New York, New York 10022, USA.
The Journal of Urology
|October 23, 2012
Summary
Patient decisional regret after robot-assisted prostatectomy is uncommon. Key predictors include age, baseline and post-operative urinary/erectile function, and time since surgery, informing better patient counseling.
Area of Science:
- Urology
- Surgical Oncology
- Patient Outcomes Research
Background:
- Patient decisional regret following cancer treatment is a critical factor in counseling.
- Understanding predictors of regret after localized prostate cancer management is under-evaluated.
Purpose of the Study:
- To analyze factors associated with treatment regret after robot-assisted prostatectomy.
- To examine relationships between quality of life, functional outcomes, and decisional regret.
Main Methods:
- 703 patients completed validated quality of life and decisional regret measures post-robot-assisted prostatectomy.
- Analyses included baseline and postoperative functional, clinicopathological, and perioperative variables.
- Univariable and multivariable models assessed associations with regret.
Main Results:
- 88% of patients reported no regret after robot-assisted prostatectomy.
- Baseline incontinence and erectile function predicted increased regret.
- Older age, postoperative incontinence, erectile dysfunction, and longer follow-up time were independent predictors of regret.
Conclusions:
- Decisional regret is influenced by age, baseline and postoperative urinary/erectile function, and time since surgery.
- These findings can aid urologists in setting realistic patient expectations during preoperative counseling.
- Improving patient counseling may enhance the overall surgical experience.