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Postoperative urinary continence after robot-assisted laparoscopic radical prostatectomy.
Scand J Urol Nephrol. 2006; 40(2):103-7.SJ

Abstract

OBJECTIVE

Laparoscopic radical prostatectomy has shown excellent results concerning patient morbidity, with less blood loss compared to conventional surgery. Robot-assisted laparoscopy offers several additional important technical improvements and therefore it might be suggested that robotic radical prostatectomy would also offer surgical advantages. The objective of this study was to evaluate urinary continence for the first 72 cases of robot-assisted radical prostatectomy performed by a single surgical team.

MATERIAL AND METHODS

We analysed the outcomes of the first 72 consecutive patients to undergo robot-assisted prostatectomy for localized prostate cancer at our hospital between January 2002 and May 2004. A self-administered questionnaire concerning urinary status was mailed to the patients 3 and 6 months after surgery. Pre- and peroperative characteristics were obtained from patient medical records. The mean age was 61.2 years (range 36-71 years) and the mean preoperative prostate-specific antigen level was 6.3 ng/ml (range 2.3-10.7 ng/ml). The preoperative clinical stage was T1c, 67%, T2, 28% and T3, 5% and the mean Gleason sum was 6 (range 5-9).

RESULTS

Sixty-one of the 68 patients (90%) reported no use of pads and 6 (9%) used a maximum of 1 pad/day 3-6 months after surgery. One patient reported use of >1 pad/day 6 months after surgery. Three significant complications were noted: ureter injury, haemorrhage and femoral nerve injury.

CONCLUSIONS

In this series, which represents the learning curve for one surgical team, only a tenth of the patients still required pads 3-6 months after surgery. Considering the short follow-up period, the results in this series will probably improve over time.

Authors+Show Affiliations

Department of Urology, Division of Surgery, Karolinska Hospital, Stockholm, Sweden. stefan.carlsson@kirugi.ki.seNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16608806

Citation

Carlsson, Stefan, et al. "Postoperative Urinary Continence After Robot-assisted Laparoscopic Radical Prostatectomy." Scandinavian Journal of Urology and Nephrology, vol. 40, no. 2, 2006, pp. 103-7.
Carlsson S, Nilsson A, Wiklund PN. Postoperative urinary continence after robot-assisted laparoscopic radical prostatectomy. Scand J Urol Nephrol. 2006;40(2):103-7.
Carlsson, S., Nilsson, A., & Wiklund, P. N. (2006). Postoperative urinary continence after robot-assisted laparoscopic radical prostatectomy. Scandinavian Journal of Urology and Nephrology, 40(2), 103-7.
Carlsson S, Nilsson A, Wiklund PN. Postoperative Urinary Continence After Robot-assisted Laparoscopic Radical Prostatectomy. Scand J Urol Nephrol. 2006;40(2):103-7. PubMed PMID: 16608806.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postoperative urinary continence after robot-assisted laparoscopic radical prostatectomy. AU - Carlsson,Stefan, AU - Nilsson,Andreas, AU - Wiklund,Peter N, PY - 2006/4/13/pubmed PY - 2006/10/6/medline PY - 2006/4/13/entrez SP - 103 EP - 7 JF - Scandinavian journal of urology and nephrology JO - Scand J Urol Nephrol VL - 40 IS - 2 N2 - OBJECTIVE: Laparoscopic radical prostatectomy has shown excellent results concerning patient morbidity, with less blood loss compared to conventional surgery. Robot-assisted laparoscopy offers several additional important technical improvements and therefore it might be suggested that robotic radical prostatectomy would also offer surgical advantages. The objective of this study was to evaluate urinary continence for the first 72 cases of robot-assisted radical prostatectomy performed by a single surgical team. MATERIAL AND METHODS: We analysed the outcomes of the first 72 consecutive patients to undergo robot-assisted prostatectomy for localized prostate cancer at our hospital between January 2002 and May 2004. A self-administered questionnaire concerning urinary status was mailed to the patients 3 and 6 months after surgery. Pre- and peroperative characteristics were obtained from patient medical records. The mean age was 61.2 years (range 36-71 years) and the mean preoperative prostate-specific antigen level was 6.3 ng/ml (range 2.3-10.7 ng/ml). The preoperative clinical stage was T1c, 67%, T2, 28% and T3, 5% and the mean Gleason sum was 6 (range 5-9). RESULTS: Sixty-one of the 68 patients (90%) reported no use of pads and 6 (9%) used a maximum of 1 pad/day 3-6 months after surgery. One patient reported use of >1 pad/day 6 months after surgery. Three significant complications were noted: ureter injury, haemorrhage and femoral nerve injury. CONCLUSIONS: In this series, which represents the learning curve for one surgical team, only a tenth of the patients still required pads 3-6 months after surgery. Considering the short follow-up period, the results in this series will probably improve over time. SN - 0036-5599 UR - https://www.unboundmedicine.com/medline/citation/16608806/Postoperative_urinary_continence_after_robot_assisted_laparoscopic_radical_prostatectomy_ L2 - https://www.tandfonline.com/doi/full/10.1080/00365590500368120 DB - PRIME DP - Unbound Medicine ER -