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Updated: Aug 6, 2026
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Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Cognitive function in patients undergoing robotic radical prostatectomy - 1 year follow up
Alicja Popiołek1,2, Bartosz Brzoszczyk3, Jędrzej Borowczak4,5
1Department of Clinical Neuropsychology, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, ul. Sklodowskiej-Curie 9, Bydgoszcz, 85-094, Poland. popiolek.ala@gmail.com.
Journal of Robotic Surgery
|July 20, 2026
Summary
Cognitive function changes after robotic radical prostatectomy, with depressive and anxious temperaments impacting trajectories. Psychological assessment may help identify at-risk patients for better neurocognitive outcomes.
Area of Science:
- Urology
- Neuroscience
- Psychology
Background:
- Postoperative neurocognitive disorders are a concern after radical prostatectomy.
- Limited longitudinal data exists for cognitive changes in patients undergoing this procedure.
Purpose of the Study:
- To evaluate longitudinal cognitive changes after robotic radical prostatectomy.
- To identify factors, including psychological traits, associated with these cognitive trajectories.
Main Methods:
- 66 patients undergoing robotic radical prostatectomy were assessed at baseline, 6 months, and 12 months.
- Cognitive performance (Neurotest), affective symptoms (HADS), and temperament (TEMPS-A) were evaluated.
- Statistical models identified predictors of cognitive change.
Main Results:
- Global cognitive composite scores showed significant changes over 12 months post-surgery.
- Depressive and anxious temperaments were significantly associated with cognitive trajectories.
- Physical activity and depressive symptoms did not significantly predict cognitive outcomes.
Conclusions:
- Cognitive trajectories following robotic radical prostatectomy are dynamic and influenced by psychological factors.
- Longitudinal cognitive monitoring and perioperative psychological assessments are recommended.
- Identifying patients at risk for poorer cognitive outcomes can inform tailored interventions.