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Related Experiment Video

Updated: Jul 12, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
12:10

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Function drives 1-year decision regret in radical prostatectomy: a multicentre prospective study.

Christopher Hirtsiefer1,2, Emma Kümmel1, Anna Vogelgesang1

  • 1Department of Urology, University Hospital Dresden, Dresden, Germany.

BJU International
|July 10, 2026
PubMed
Summary

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European urology open science·2026

Post-prostatectomy decision regret is mainly linked to urinary issues and sexual dysfunction, not surgical method or cancer recurrence. Improving functional recovery and managing expectations are crucial for patient satisfaction after prostate cancer surgery.

Area of Science:

  • Urology
  • Oncology
  • Health Psychology

Background:

  • Postoperative decision regret after radical prostatectomy (RP) can impact patient well-being.
  • Identifying key drivers of this regret is essential for improving surgical outcomes and patient satisfaction.

Purpose of the Study:

  • To determine the contemporary factors influencing decision regret one year after radical prostatectomy.
  • To differentiate between functional outcomes, oncological results, and surgical approach as predictors of regret.

Main Methods:

  • A prospective, multicentre study involving 419 patients undergoing robot-assisted RP (RARP) or open RP (ORP).
  • Assessment of decision regret using the Decision Regret Scale (DRS) and functional outcomes via EORTC QLQ-PR25 at one year post-surgery.
  • Multivariable logistic regression and propensity score matching (PSM) were used to identify predictors of high regret (DRS score ≥10).
Keywords:
decision regretfunctional outcomespostoperative erectile functionpostoperative functional satisfactionradical prostatectomysurgical approachsymptom severity

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Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy
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Published on: December 28, 2021

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Last Updated: Jul 12, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy
09:49

Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy

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Main Results:

  • Overall surgical decision regret was low (mean DRS score 9.0).
  • High urinary symptom burden (OR 2.4) and impaired sexual functioning (OR 2.8) were independent predictors of high regret.
  • Neither surgical approach (RARP vs. ORP) nor PSA recurrence predicted high decision regret.

Conclusions:

  • Postoperative functional outcomes, specifically urinary symptoms and sexual function, are the primary drivers of decision regret after radical prostatectomy.
  • Focusing on optimizing functional recovery and managing patient expectations regarding these outcomes is vital for reducing regret and enhancing satisfaction in prostate cancer surgery.