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Robotic radical prostatectomy for elderly patients: probability of achieving continence and potency 1 year after surgery.
J Urol. 2010 May; 183(5):1803-7.JU

Abstract

PURPOSE

We assessed the probability of achieving continence and potency after robotic radical prostatectomy in elderly patients.

MATERIALS AND METHODS

The cohort included 1,436 robotic radical prostatectomy cases performed at our institution between 2003 and 2008. Continence (pad-free) and potency (erection sufficient for intercourse) at baseline and 1 year after surgery were evaluated by the UCLA-PCI questionnaire. Point estimates of the predicted probabilities of continence and potency for age 65, 70 and 75 years were calculated from multivariate logistic regression models adjusting for age, nerve sparing status, baseline International Prostate Symptom Score and baseline Sexual Health Inventory for Men score. Patients who were impotent before surgery or those who received hormones or radiation within 1 year after surgery were censored.

RESULTS

Mean patient age was 60 years (range 38 to 85) with 25% older than 65 years and 77 (5%) 70 years old or older. Age (OR 0.97, p = 0.002), baseline I-PSS (OR 0.98, p = 0.02) and Sexual Health Inventory for Men scores (OR 1.02, p = 0.005) were independently associated with being pad-free. Age (OR 0.92, p <0.0001), baseline Sexual Health Inventory for Men score (OR 1.1, p <0.0001) and bilateral nerve sparing (OR 2.92, p <0.0001) were independently associated with achieving potency. Predicted probabilities (95% CI) of postoperative 1-year continence at age 65, 70 and 75 years were 0.66 (0.63, 0.69), 0.63 (0.57, 0.68) and 0.59 (0.52, 0.66), respectively. The corresponding probabilities of postoperative 1-year potency after bilateral nerve sparing were 0.66 (0.62, 0.71), 0.56 (0.49, 0.64) and 0.46 (0.36, 0.56).

CONCLUSIONS

In our experience there is an acceptable probability of achieving continence and potency after robotic radical prostatectomy in selected elderly patients.

Authors+Show Affiliations

Section of Urology, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois, USA. sergeyshikanov@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20299041

Citation

Shikanov, Sergey, et al. "Robotic Radical Prostatectomy for Elderly Patients: Probability of Achieving Continence and Potency 1 Year After Surgery." The Journal of Urology, vol. 183, no. 5, 2010, pp. 1803-7.
Shikanov S, Desai V, Razmaria A, et al. Robotic radical prostatectomy for elderly patients: probability of achieving continence and potency 1 year after surgery. J Urol. 2010;183(5):1803-7.
Shikanov, S., Desai, V., Razmaria, A., Zagaja, G. P., & Shalhav, A. L. (2010). Robotic radical prostatectomy for elderly patients: probability of achieving continence and potency 1 year after surgery. The Journal of Urology, 183(5), 1803-7. https://doi.org/10.1016/j.juro.2010.01.016
Shikanov S, et al. Robotic Radical Prostatectomy for Elderly Patients: Probability of Achieving Continence and Potency 1 Year After Surgery. J Urol. 2010;183(5):1803-7. PubMed PMID: 20299041.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Robotic radical prostatectomy for elderly patients: probability of achieving continence and potency 1 year after surgery. AU - Shikanov,Sergey, AU - Desai,Vikas, AU - Razmaria,Aria, AU - Zagaja,Gregory P, AU - Shalhav,Arieh L, Y1 - 2010/03/17/ PY - 2009/09/17/received PY - 2010/3/20/entrez PY - 2010/3/20/pubmed PY - 2010/5/7/medline SP - 1803 EP - 7 JF - The Journal of urology JO - J Urol VL - 183 IS - 5 N2 - PURPOSE: We assessed the probability of achieving continence and potency after robotic radical prostatectomy in elderly patients. MATERIALS AND METHODS: The cohort included 1,436 robotic radical prostatectomy cases performed at our institution between 2003 and 2008. Continence (pad-free) and potency (erection sufficient for intercourse) at baseline and 1 year after surgery were evaluated by the UCLA-PCI questionnaire. Point estimates of the predicted probabilities of continence and potency for age 65, 70 and 75 years were calculated from multivariate logistic regression models adjusting for age, nerve sparing status, baseline International Prostate Symptom Score and baseline Sexual Health Inventory for Men score. Patients who were impotent before surgery or those who received hormones or radiation within 1 year after surgery were censored. RESULTS: Mean patient age was 60 years (range 38 to 85) with 25% older than 65 years and 77 (5%) 70 years old or older. Age (OR 0.97, p = 0.002), baseline I-PSS (OR 0.98, p = 0.02) and Sexual Health Inventory for Men scores (OR 1.02, p = 0.005) were independently associated with being pad-free. Age (OR 0.92, p <0.0001), baseline Sexual Health Inventory for Men score (OR 1.1, p <0.0001) and bilateral nerve sparing (OR 2.92, p <0.0001) were independently associated with achieving potency. Predicted probabilities (95% CI) of postoperative 1-year continence at age 65, 70 and 75 years were 0.66 (0.63, 0.69), 0.63 (0.57, 0.68) and 0.59 (0.52, 0.66), respectively. The corresponding probabilities of postoperative 1-year potency after bilateral nerve sparing were 0.66 (0.62, 0.71), 0.56 (0.49, 0.64) and 0.46 (0.36, 0.56). CONCLUSIONS: In our experience there is an acceptable probability of achieving continence and potency after robotic radical prostatectomy in selected elderly patients. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/20299041/Robotic_radical_prostatectomy_for_elderly_patients:_probability_of_achieving_continence_and_potency_1_year_after_surgery_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2010.01.016?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -