Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Ambulatory radical retropubic prostatectomy

J H Hajjar1, H A Budd, Z Wachtel

  • 1Surgicare Surgical Associates, Ambulatory Surgical Facility, Fair Lawn, New Jersey, USA.

Urology
|March 24, 1998
PubMed
Summary

Radical retropubic prostatectomy can be safely performed on an ambulatory basis, with most patients discharged on postoperative day 1. This approach offers expedited recovery and cost savings without compromising patient outcomes or satisfaction.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Letter: Brompheniramine in treatment of retrograde ejaculation.

Urologyยท1975
See all related articles

Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Radical retropubic prostatectomy (RRP) is a standard treatment for localized prostate cancer.
  • Traditionally, RRP involves a significant hospital stay, impacting patient recovery and healthcare costs.

Purpose of the Study:

  • To evaluate the feasibility and safety of performing RRP on an ambulatory (outpatient) basis.
  • To assess clinical outcomes, patient satisfaction, and complication rates in patients undergoing same-day discharge after RRP.

Main Methods:

  • Retrospective review of 40 consecutive patients undergoing RRP.
  • Data collected included patient demographics, operative time, length of hospitalization, and postoperative outcomes.
  • A subset of 15 patients received pelvic blocks to facilitate expedited discharge, with 10 undergoing ambulatory RRP.

Related Experiment Videos

Main Results:

  • 80% of patients were discharged on postoperative day 1, with an average operative time of 89.5 minutes.
  • High rates of continence (90.9% at 6 months) and potency (55.6% at 1 year) were observed.
  • Patient satisfaction was high (97.5% would choose the procedure again), with minimal complications (7.5% bladder neck contractures, 2.5% wound infections).

Conclusions:

  • Ambulatory RRP is a safe and effective approach, maintaining excellent oncologic and functional outcomes.
  • Expedited patient discharge, cost savings, and high patient satisfaction are key advantages.
  • This study supports the expansion of RRP to an outpatient setting without compromising quality of care.