Intermediate-term Urinary Function and Complication Outcomes After Robot-Assisted Simple Prostatectomy.
Publication/Presentation Date
7-1-2020
Abstract
OBJECTIVE: To assess the incidence of delayed complications after robot-assisted simple prostatectomy and evaluate postoperative lower urinary tract symptoms (LUTS) as a function of time with intermediate-term follow-up.
METHODS: We retrospectively reviewed 150 patients who underwent robot-assisted simple prostatectomy between May, 2013 and January, 2019. Indication for surgery was bothersome LUTS refractory to medical management and prostate volume ≥80 milliliters. The severity of LUTS was assessed using the International Prostate Symptom Score (IPSS) and quality of life (QOL) score. One-way analysis of variance test with post hoc Tukey's honest significant difference test was used to compare postoperative IPSS and QOL scores as a function of time; P < .05 was considered significant.
RESULTS: At a mean ± SD follow up of 31.3 ± 18.2 months, none of the patients developed a bladder neck contracture and none of the patients required reoperation for LUTS. Postoperatively, IPSS and QOL scores decreased with an increasing duration of follow up (P < .001). Mean IPSS and QOL scores improved between 2 weeks and 3 months postoperatively (P = .027 and P = .006, respectively). After 3 months postoperatively, mean IPPS and QOL scores stabilized and remained unchanged up to 36 months of follow-up (all P >.05).
CONCLUSION: Robotic simple prostatectomy is associated with a low incidence of delayed complications at a mean of 31.3 months postoperatively. After robotic simple prostatectomy, urinary function outcomes improve in the early postoperative period with maximal improvement occurring at 3 months. Excellent urinary function outcomes are durable up to at least 36 months postoperatively.
Volume
141
First Page
89
Last Page
94
ISSN
1527-9995
Published In/Presented At
Lee, Z., Lee, M., Keehn, A. Y., Asghar, A. M., Strauss, D. M., & Eun, D. D. (2020). Intermediate-term Urinary Function and Complication Outcomes After Robot-Assisted Simple Prostatectomy. Urology, 141, 89–94. https://doi.org/10.1016/j.urology.2020.04.055
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
32333992
Department(s)
Administration and Leadership
Document Type
Article