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Single institution 2-year patient reported validated sexual function outcomes after nerve sparing robot assisted radical prostatectomy.
J Urol. 2009 Jan; 181(1):259-63.JU

Abstract

PURPOSE

To identify surgeon specific factors for preserving sexual function (and minimize patient related factors) we report 2-year potency outcomes in men 65 years or younger with normal preoperative sexual function undergoing nerve sparing robot assisted laparoscopic radical prostatectomy.

MATERIALS AND METHODS

Between July 2004 and February 2006, 200 consecutive patients underwent robot assisted laparoscopic radical prostatectomy by 1 surgeon. Inclusion criteria were age 65 years or younger with normal baseline 5-item International Index of Erectile Function score of 22 to 25 and complete 2-year followup. Postoperatively potency was defined by a yes to "erections adequate for vaginal penetration" and "satisfactory erections" on prospective self-administered validated questionnaires with or without phosphodiesterase type 5 medications. Men also reported 5-item International Index of Erectile Function scores and erectile fullness of 0% to 10%, 25%, 50%, 75% or 100% compared to before surgery.

RESULTS

A total of 62 patients met the inclusion criteria, and of these 3 were lost to followup and 1 was excluded from study due to receiving hormonal therapy. At 3 months 32.1% reported potency. At 24 months potency was 89.7% (52 of 58) overall, 93.0% (40 of 43) for bilateral and 80.0% (12 of 15) for unilateral nerve sparing. For potent men the mean 5-item International Index of Erectile Function score was 20.4 at 3 months vs 21.3 at 24 months. Mean erectile firmness at 24 months was 91% compared to preoperative baseline, with 34 of 52 (65%) reporting 100% of preoperative fullness. The 5-item International Index of Erectile Function score and fullness at 24 months were equivalent for unilateral nerve sparing and bilateral nerve sparing.

CONCLUSIONS

Overall 90% of men reported return of potency at 24 months, and 46% returned to baseline with normal 5-item International Index of Erectile Function scores and 100% firmness. Remarkably there was no difference in 5-item International Index of Erectile Function scores or fullness between unilateral nerve sparing and bilateral nerve sparing.

Authors+Show Affiliations

Department of Urology, University of California Irvine, Irvine, California, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19013596

Citation

Rodriguez, Esequiel, et al. "Single Institution 2-year Patient Reported Validated Sexual Function Outcomes After Nerve Sparing Robot Assisted Radical Prostatectomy." The Journal of Urology, vol. 181, no. 1, 2009, pp. 259-63.
Rodriguez E, Finley DS, Skarecky D, et al. Single institution 2-year patient reported validated sexual function outcomes after nerve sparing robot assisted radical prostatectomy. J Urol. 2009;181(1):259-63.
Rodriguez, E., Finley, D. S., Skarecky, D., & Ahlering, T. E. (2009). Single institution 2-year patient reported validated sexual function outcomes after nerve sparing robot assisted radical prostatectomy. The Journal of Urology, 181(1), 259-63. https://doi.org/10.1016/j.juro.2008.09.015
Rodriguez E, et al. Single Institution 2-year Patient Reported Validated Sexual Function Outcomes After Nerve Sparing Robot Assisted Radical Prostatectomy. J Urol. 2009;181(1):259-63. PubMed PMID: 19013596.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Single institution 2-year patient reported validated sexual function outcomes after nerve sparing robot assisted radical prostatectomy. AU - Rodriguez,Esequiel,Jr AU - Finley,David S, AU - Skarecky,Douglas, AU - Ahlering,Thomas E, Y1 - 2008/11/14/ PY - 2008/04/28/received PY - 2008/11/18/entrez PY - 2008/11/18/pubmed PY - 2009/1/28/medline SP - 259 EP - 63 JF - The Journal of urology JO - J Urol VL - 181 IS - 1 N2 - PURPOSE: To identify surgeon specific factors for preserving sexual function (and minimize patient related factors) we report 2-year potency outcomes in men 65 years or younger with normal preoperative sexual function undergoing nerve sparing robot assisted laparoscopic radical prostatectomy. MATERIALS AND METHODS: Between July 2004 and February 2006, 200 consecutive patients underwent robot assisted laparoscopic radical prostatectomy by 1 surgeon. Inclusion criteria were age 65 years or younger with normal baseline 5-item International Index of Erectile Function score of 22 to 25 and complete 2-year followup. Postoperatively potency was defined by a yes to "erections adequate for vaginal penetration" and "satisfactory erections" on prospective self-administered validated questionnaires with or without phosphodiesterase type 5 medications. Men also reported 5-item International Index of Erectile Function scores and erectile fullness of 0% to 10%, 25%, 50%, 75% or 100% compared to before surgery. RESULTS: A total of 62 patients met the inclusion criteria, and of these 3 were lost to followup and 1 was excluded from study due to receiving hormonal therapy. At 3 months 32.1% reported potency. At 24 months potency was 89.7% (52 of 58) overall, 93.0% (40 of 43) for bilateral and 80.0% (12 of 15) for unilateral nerve sparing. For potent men the mean 5-item International Index of Erectile Function score was 20.4 at 3 months vs 21.3 at 24 months. Mean erectile firmness at 24 months was 91% compared to preoperative baseline, with 34 of 52 (65%) reporting 100% of preoperative fullness. The 5-item International Index of Erectile Function score and fullness at 24 months were equivalent for unilateral nerve sparing and bilateral nerve sparing. CONCLUSIONS: Overall 90% of men reported return of potency at 24 months, and 46% returned to baseline with normal 5-item International Index of Erectile Function scores and 100% firmness. Remarkably there was no difference in 5-item International Index of Erectile Function scores or fullness between unilateral nerve sparing and bilateral nerve sparing. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/19013596/Single_institution_2_year_patient_reported_validated_sexual_function_outcomes_after_nerve_sparing_robot_assisted_radical_prostatectomy_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2008.09.015?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -