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Updated: Feb 5, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Toward a Modern Telehealth Follow-Up Routine for Radical Prostatectomy: Introducing a Novel E-Health Application for
Nora Bauer1, Christian Daniel Fankhauser1,2, Silvan Sigg1
1Department of Urology, University Teaching and Research Hospital Lucerne, Lucerne, Canton, Switzerland.
MeinLUKS, an automated e-health system, improved follow-up care after radical prostatectomy (RP). While not impacting continence, it enhanced sexual function recovery and detected issues missed in routine care, highlighting the need for better onboarding and usability.
Area of Science:
- Urology
- Digital Health
- Oncology
Background:
- Implementation of MeinLUKS, an automated e-health follow-up system, within the EPIC MyChart portal post-radical prostatectomy (RP).
- Examination of factors influencing MeinLUKS adoption and differences in outcomes between users and non-users.
Purpose of the Study:
- To assess the impact of an automated e-health follow-up system on patient outcomes after radical prostatectomy.
- To identify barriers and facilitators to the adoption of digital health tools in cancer survivorship care.
Main Methods:
- Retrospective analysis of 274 men undergoing RP, classifying patients as MeinLUKS users or non-users.
- Comparison of sociodemographic, clinical, functional, and oncological outcomes, supplemented by structured telephone interviews.
Main Results:
- Users (47%) were younger, more educated, and urban residents; oncological characteristics were similar.
- No significant difference in time to no pad use or long-term continence.
- Improved patient-reported sexual function recovery in users (56% vs. 36%).
- MeinLUKS identified recurrences and complications missed in routine care.
- Barriers for non-users included poor onboarding and interface complexity; users cited organizational benefits.
Conclusions:
- Automated e-health follow-up enhances data completeness, reduces workload, and detects critical events.
- Optimizing onboarding, clinician engagement, and usability is crucial for increasing adoption.
- Potential to improve quality and efficiency in prostate cancer survivorship care.
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