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Survival, Continence and Potency (SCP) recovery after radical retropubic prostatectomy: a long-term combined evaluation of surgical outcomes.
Eur J Surg Oncol. 2014 Dec; 40(12):1716-23.EJ

Abstract

OBJECTIVE

To offer a comprehensive account of surgical outcomes on a defined series of patients treated with radical retropubic prostatectomy (RRP) for prostate cancer in a single European Center after 5-year minimum follow-up according to the Survival, Continence and Potency (SCP) system.

MATERIAL AND METHODS

We evaluated our Institutional database of patients who underwent RRP from November 1995 to September 2008. Oncological and functional outcomes were reported according to the recently proposed SCP system.

RESULTS

The 5- and 10-year biochemical recurrence-free survival rates were 80.1% and 55.8%, respectively. At the end of follow-up, 611 (78.5%) patients were fully continent (C0), 107 (13.8%) used 1 pad for security (C1) and 60 (7.7%) patients were incontinent (C2). Of the 112 patients who underwent nerve-sparing RRP, 22 (19.6%) were fully potent without aids (P0), 13 (11.6%) were potent with assumption of PDE-5 inhibitors (P1) and 77 (68.8%) experienced erectile dysfunction (P2). The combined SCP outcomes were reported together only in 95 (12.2%) evaluable patients. In patients preoperatively continent and potent, who received a nerve-sparing and did not require adjuvant therapy, oncological and functional success was attained by 29 (30.5%) patients. In the subgroup of 508 patients not evaluable for potency recovery, oncological and continence outcomes were obtained in 357 patients (70.3%).

CONCLUSION

Survival, Continence and Potency (SCP) classification offer a comprehensive report of surgical results, even in those patients who do not represent the best category, thus allowing to provide a much more accurate evaluation of outcomes after RP.

Authors+Show Affiliations

Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy. Electronic address: mark.borghesi1@gmail.com.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.Department of Urology, University of Bologna, S. Orsola-Malpighi Hospital, Palagi 9 Street, 40138 Bologna, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25085795

Citation

Schiavina, R, et al. "Survival, Continence and Potency (SCP) Recovery After Radical Retropubic Prostatectomy: a Long-term Combined Evaluation of Surgical Outcomes." European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, vol. 40, no. 12, 2014, pp. 1716-23.
Schiavina R, Borghesi M, Dababneh H, et al. Survival, Continence and Potency (SCP) recovery after radical retropubic prostatectomy: a long-term combined evaluation of surgical outcomes. Eur J Surg Oncol. 2014;40(12):1716-23.
Schiavina, R., Borghesi, M., Dababneh, H., Pultrone, C. V., Chessa, F., Concetti, S., Gentile, G., Vagnoni, V., Romagnoli, D., Della Mora, L., Rizzi, S., Martorana, G., & Brunocilla, E. (2014). Survival, Continence and Potency (SCP) recovery after radical retropubic prostatectomy: a long-term combined evaluation of surgical outcomes. European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, 40(12), 1716-23. https://doi.org/10.1016/j.ejso.2014.06.015
Schiavina R, et al. Survival, Continence and Potency (SCP) Recovery After Radical Retropubic Prostatectomy: a Long-term Combined Evaluation of Surgical Outcomes. Eur J Surg Oncol. 2014;40(12):1716-23. PubMed PMID: 25085795.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Survival, Continence and Potency (SCP) recovery after radical retropubic prostatectomy: a long-term combined evaluation of surgical outcomes. AU - Schiavina,R, AU - Borghesi,M, AU - Dababneh,H, AU - Pultrone,C V, AU - Chessa,F, AU - Concetti,S, AU - Gentile,G, AU - Vagnoni,V, AU - Romagnoli,D, AU - Della Mora,L, AU - Rizzi,S, AU - Martorana,G, AU - Brunocilla,E, Y1 - 2014/07/18/ PY - 2014/02/13/received PY - 2014/05/29/revised PY - 2014/06/30/accepted PY - 2014/8/3/entrez PY - 2014/8/3/pubmed PY - 2015/2/18/medline KW - Erectile function KW - Oncological outcomes KW - Prostate cancer KW - Radical retropubic prostatectomy KW - Urinary continence SP - 1716 EP - 23 JF - European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology JO - Eur J Surg Oncol VL - 40 IS - 12 N2 - OBJECTIVE: To offer a comprehensive account of surgical outcomes on a defined series of patients treated with radical retropubic prostatectomy (RRP) for prostate cancer in a single European Center after 5-year minimum follow-up according to the Survival, Continence and Potency (SCP) system. MATERIAL AND METHODS: We evaluated our Institutional database of patients who underwent RRP from November 1995 to September 2008. Oncological and functional outcomes were reported according to the recently proposed SCP system. RESULTS: The 5- and 10-year biochemical recurrence-free survival rates were 80.1% and 55.8%, respectively. At the end of follow-up, 611 (78.5%) patients were fully continent (C0), 107 (13.8%) used 1 pad for security (C1) and 60 (7.7%) patients were incontinent (C2). Of the 112 patients who underwent nerve-sparing RRP, 22 (19.6%) were fully potent without aids (P0), 13 (11.6%) were potent with assumption of PDE-5 inhibitors (P1) and 77 (68.8%) experienced erectile dysfunction (P2). The combined SCP outcomes were reported together only in 95 (12.2%) evaluable patients. In patients preoperatively continent and potent, who received a nerve-sparing and did not require adjuvant therapy, oncological and functional success was attained by 29 (30.5%) patients. In the subgroup of 508 patients not evaluable for potency recovery, oncological and continence outcomes were obtained in 357 patients (70.3%). CONCLUSION: Survival, Continence and Potency (SCP) classification offer a comprehensive report of surgical results, even in those patients who do not represent the best category, thus allowing to provide a much more accurate evaluation of outcomes after RP. SN - 1532-2157 UR - https://www.unboundmedicine.com/medline/citation/25085795/Survival_Continence_and_Potency__SCP__recovery_after_radical_retropubic_prostatectomy:_a_long_term_combined_evaluation_of_surgical_outcomes_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0748-7983(14)00505-8 DB - PRIME DP - Unbound Medicine ER -