Oncologic Outcome and Continence Recovery after Laparoscopic Radical Prostatectomy: 3 Years’ Follow-Up in a “Second Generation Center”

Galli, Stefano; Simonato, Alchiede; Bozzola, A.; Gregori, Andrea; Lissiani, A.; Scaburri, Alessandra; Gaboardi, Franco

doi:10.1016/j.eururo.2006.01.035

Cited by 40 publications

(29 citation statements)

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“…Different types of complications have been reported in up to 35% of the cases, but most of them have negligible clinical consequences (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Mortality has reported to be approximately from 0.5 to 1%, and has been related to heart diseases or cases of pulmonary embolism.…”

Section: Commentsmentioning

confidence: 99%

“…Mortality has reported to be approximately from 0.5 to 1%, and has been related to heart diseases or cases of pulmonary embolism. All reported series on LRP show a tendency towards the reduction of postoperative complication rates, from 25% to approximately 5% after the learning curve has been achieved (3,5,6,10,(12)(13)(14)(15)(16)(17).…”

Section: Commentsmentioning

confidence: 99%

“…Ureteral injuries yield rates of 0.5% in LRP, and occurs mainly in three situations: 1) when we mistake the vas deferens for the ureter; 2) when a previous transurethral resection was made, which prevents the proper visualization of ureteral meatus at the bladder neck; 3) when the ureter is enveloped by a urethrovesical anastomosis (2,5,10,12,15). Treatment usually consists of laparoscopic ureteral reimplantation.…”

Section: Commentsmentioning

confidence: 99%

“…Laparoscopy offers increased magnification, excellent illumination and a tamponade effect of CO 2 , which facilitates hemostasis and visualization. Safe ligation of the dorsal vein complex is performed under good anterior and lateral visualization of the venous plexus and of its lower limit, close to the urethra (1)(2)(3)(4)(5)(6)(8)(9)(10)(11)(12).…”

Section: Commentsmentioning

confidence: 99%

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Laparoscopic radical prostatectomy: 10 years experience

et al. 2009

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Purpose:The authors assess the morbidity, functional results and oncologic follow-up of a series of laparoscopic radical prostatectomies performed in over a 10-year period. Materials and Methods:The data on 780 laparoscopic radical prostatectomies performed between September 1997 and December 2007 were stored in a personal database. The following parameters are described and critically analyzed: operative time, blood transfusions, conversions, length of hospital stay, complications, functional results of sexual potency and urinary continence, surgical margins and oncologic follow-up. Results: Operative time averaged 125 minutes, with a mean bleeding volume of 335 mL and mean hospital stay of 4.3 days. The rate of conversion to open surgery was 1.36% and the overall complication rate was 14.24%. The pathology analysis showed pT2 tumors in 82.60% and pT3 tumors in 17.39% of cases. The overall positive margin rate was 19.58%, with a biochemical recurrence of 10.27% at a mean follow-up of 62.5 months. Urinary continence and sexual potency yielded rates of 88% and 61%, respectively, 12 months after surgery. Conclusions: Laparoscopic radical prostatectomy is a technically well-defined procedure that provides good oncologic and functional results after proper training.

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Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

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Laparoscopic radical prostatectomy: 10 years experience

et al. 2009

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“…However, the authors did not state the definition of continence or the methodology of measurement used in their analysis (50). Galli et al reported that the incidence of long-term continence following laparoscopic prostatectomy is 91.7%, which appears to be equal to that reported by major centers using either open or laparoscopic access (51).…”

Section: Continencementioning

confidence: 56%

Laparoscopic radical prostatectomy: a review

et al. 2009

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Introduction:We offer an overview of the intra-, peri-and postoperative outcomes of laparoscopic radical prostatectomy (LRP) with the endpoint to evaluate potential advantages of this approach. Materials and Methods:We conducted an extensive Medline literature search (search terms "laparoscopic radical prostatectomy" and "radical prostatectomy") from 1990 until 2007. Only full-length English language articles identified during this search were considered for this analysis. A preference was given to the articles with large series with more than 100 patients. All pertinent articles concerning localized prostate cancer were reviewed. Conclusion: Pure LRP has shown to be feasible and reproducible but it is difficult to learn. Potential advantages over open surgery have to be confirmed by longer-term follow-up and adequately designed clinical studies.

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AdVance™ male sling for stress urinary incontinence: Long‐term follow‐up and patient satisfaction

Boe,

Nilsen,

Holm

2023

BJUI Compass

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ObjectivesTo evaluate long‐term effects, complications and satisfaction among patients treated with AdVance™ and AdVance™ XP slings (AS) at a Norwegian specialist care hospital.Materials and MethodsPatients who had an AS implanted due to stress urinary incontinence (SUI) 2009–2016 were identified retrospectively. Demographic and perioperative data were extracted from electronic patient files. We did a patient‐reported outcome measure (PROM) survey with the Expanded Prostate Cancer Index Composite (EPIC‐26) urinary domain and a Satisfaction Questionnaire (SQ) 2018–2020. Cure was defined as use of ≤1 pad/day.ResultsThe AS was implanted in 165 patients, mainly due to mild to moderate SUI (median leakage 112 g, range 13–589 g/24 h). Preoperative urodynamics showed mild detrusor overactivity (DO) in 11 patients. At 6‐week follow‐up, 148 patients (90%) were cured. The most common complication was urinary retention (N = 38), transient in 32 patients (range 1–42 days). Two patients were later operated with division of the sling due to persistent retention. During clinical follow‐up of up to 12 years, 27 patients were reoperated due to persistent/recurrent incontinence. The PROM survey was sent to 125 patients and 115 (92%) replied at median 73 (20–134) months postoperatively. Ninety‐one (79%) used ≤1 pads/day, 97 (85%) were satisfied, one patient‐reported pain. Regression analyses showed that failure (>1 pad/day) was significantly associated with a higher amount of leakage preoperatively and at the 6‐week follow‐up. Total cure rate in the complete cohort was 64% at median 73 (20–134) months follow‐up.ConclusionsThe AS shows good and persistent long‐term results in patients with mild to moderate SUI. The only identified risk factor for long‐term failure was higher amount of leakage preoperatively. The incidence of high body mass index (BMI), DO and previous radiotherapy was low and not significantly associated with failure but is still considered risk factors.

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Oncologic Outcome and Continence Recovery after Laparoscopic Radical Prostatectomy: 3 Years’ Follow-Up in a “Second Generation Center”

Cited by 40 publications

References 15 publications

Laparoscopic radical prostatectomy: 10 years experience

Laparoscopic radical prostatectomy: 10 years experience

Laparoscopic radical prostatectomy: a review

AdVance™ male sling for stress urinary incontinence: Long‐term follow‐up and patient satisfaction

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