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Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
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Patient reported functional outcomes following robotic-assisted (RARP), laparoscopic (LRP), and open radical
G J Nason1, F O'Kelly2, S White2
1Department of Urology, Beaumont Hospital, Dublin 9, Ireland. nasong@tcd.ie.
Irish Journal of Medical Science
|November 1, 2016
Summary
Robotic-assisted, laparoscopic, and open radical prostatectomy yield similar early urinary and erectile function outcomes. Surgical approach does not significantly impact these functional results in the short term.
Area of Science:
- Urology
- Surgical Oncology
- Men's Health
Background:
- Radical prostatectomy (RP) for prostate cancer can lead to urinary incontinence and erectile dysfunction.
- The impact of surgical technique on these functional outcomes remains debated.
Purpose of the Study:
- To compare early functional outcomes after robotic-assisted radical prostatectomy (RARP), laparoscopic radical prostatectomy (LRP), and open radical prostatectomy (ORP).
Main Methods:
- Retrospective review of a prospectively maintained database (2011-2014).
- Objective assessment of functional status using International Prostate Symptom Score (IPSS), International Index of Erectile Function (IIEF-5), and self-reported continence scores.
Main Results:
- No significant difference in urinary function was observed between ORP, LRP, and RARP at 3, 6, 9, or 12 months post-surgery.
- All patients experienced a decline in erectile function, with no significant differences noted between the surgical approaches at 3, 6, 9, or 12 months.
Conclusions:
- Equivalent early functional outcomes (urinary and erectile) are achieved regardless of the surgical approach for radical prostatectomy.
- Further prospective, randomized studies with longer follow-up are needed to definitively determine the optimal surgical technique.
Keywords:
Erectile dysfunctionFunctional outcomesProstate cancerRadical prostatectomyUrinary incontinence
