Predictors of urinary function recovery after laparoscopic and robot-assisted radical prostatectomy

Hakozaki, Kyohei; Takeda, Toshikazu; Yasumizu, Yota; Tanaka, Nobuyuki; Matsumoto, Kazuhiro; Morita, Shinya; Kosaka, Takeo; Mizuno, Ryuichi; Asanuma, Hiroshi; Oya, Mototsugu

doi:10.1590/s1677-5538.ibju.2022.0362

Cited by 6 publications

(4 citation statements)

References 30 publications

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“…It is also important to note any potential implications of PUI recovery following RARP in rural community settings. Indeed, our finding at 12 months was rather superior to that observed in a Japanese elite university hospital: Hakozaki et al reported that only 85.0% of their patients experienced PUI recovery one year after RARP [18]. This means that than the status and ranking of hospitals, the experience and proficiency of surgeons affects the outcomes of patients, which is a fact explained above.…”

Section: Discussioncontrasting

confidence: 68%

Duration and Influencing Factors of Postoperative Urinary Incontinence after Robot-Assisted Radical Prostatectomy in a Japanese Community Hospital: A Single-Center Retrospective Cohort Study

Kasai

Banno

Nakamura

et al. 2023

IJERPH

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Objectives: Post-operative urinary incontinence (PUI) after robotic-assisted radical prostatectomy (RARP) is an important complication; PUI occurs immediately after postoperative urethral catheter removal, and, although approximately 90% of patients improve within one year after surgery, it can significantly worsen their quality of life. However, information is lacking on its nature in community hospital settings, particularly in Asian countries. The purposes of this study were to investigate the time required to recover from PUI after RARP and to identify its associated factors in a Japanese community hospital. Methods: Data were extracted from the medical records of 214 men with prostate cancer who underwent RARP from 2019 to 2021. We then calculated the number of days elapsed from the surgery to the initial outpatient visit confirming PUI recovery among the patients. We estimated the PUI recovery rate using the Kaplan–Meier product limit method and evaluated associated factors using the multivariable Cox proportional hazards model. Results: The PUI recovery rates were 5.7%, 23.4%, 64.6%, and 93.3% at 30, 90, 180, and 365 days following RARP, respectively. After an adjustment, those with preoperative urinary incontinence experienced significantly slower PUI recovery than their counterparts, while those with bilateral nerve sparing experienced recovery significantly sooner than those with no nerve sparing. Conclusion: Most PUI improved within one year, but a proportion of those experiencing recovery before 90 days was smaller than previously reported.

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Section: Discussioncontrasting

confidence: 68%

Duration and Influencing Factors of Postoperative Urinary Incontinence after Robot-Assisted Radical Prostatectomy in a Japanese Community Hospital: A Single-Center Retrospective Cohort Study

Kasai

Banno

Nakamura

et al. 2023

IJERPH

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“…Finally, although of paramount importance in the quality assessment of RARP, continence and potency outcomes were not reported being beyond the scopes of our study ( 27 ).…”

Section: Discussionmentioning

confidence: 99%

"Single-Surgeon" versus "Dual-Surgeon" Robot-Assisted Radical Prostatectomy and Pelvic Lymph-nodes Dissection: Comparative Analysis of Perioperative Outcomes

Bertolo,

Carilli,

Antonucci

et al. 2023

Int. braz j urol.

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Purpose: To compare the perioperative outcomes of robot-assisted radical prostatectomy (RARP) with pelvic lymph-nodes dissection (PLND) when the same surgeon performs RARP and PLND versus one surgeon performs RARP and another surgeon performs PLND. Materials and Methods: From January 2022 to March 2023, data of consecutive patients who underwent RARP with PLND were prospectively collected. The surgeries were performed by two "young" surgeons with detailed profi le. Specifi cally for the study purpose, one surgeon performed RARP, and the other surgeon performed PLND. A set of surgeries performed according to the standard setup (i.e., the same surgeon performing both RARP and PLND) was retrieved from the institutional database and used as comparator arm. To test the study hypothesis, patients were divided into two groups: "dual-surgeon" versus "single-surgeon". Results: Fifty patients underwent RARP and PLND performed according to dual-surgeon setup and were compared to the last 50 procedures performed according to the standard single-surgeon setup. Patients in the groups had comparable baseline characteristics. Dual-surgeon interventions had signifi cantly shorter median total operative versus 174 ] minutes, p<0.001) and console time versus 154 [IQR 129-170] minutes, p<0.001). No signifi cant differences were found in terms of blood loss, intraoperative complications, postoperative outcomes, and fi nal pathology results. Conclusions: The present analysis found that when RARP and PLND are split onto two surgeons, the operative time is shorter by 20 minutes compared to when a single surgeon performs RARP and PLND. This is an interesting fi nding that could sponsor further studies.

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“…Traditionally, sRARP was thought to be associated with worse functional outcomes compared to pRARP. Prior work on continence recovery after pRARP has indicated that younger age at surgery and less intraoperative blood loss may be favorable predictors of continence recovery ( 69 ), but results after sRARP are less clear. Definitions of continence ranges from no pad usage to questionnaire-based determinations and potency definitions range from non-assisted erectile function to the allowance of oral phosphodiesterase inhibitors and vacuum erection devices.…”

Section: Srarp After Ablative Therapiesmentioning

confidence: 99%

A Comprehensive Review of the Current State of Robot-assisted Laparoscopic Salvage Prostatectomy

Thakker,

Sandberg,

Hemal

et al. 2024

Int. braz j urol.

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Predictors of urinary function recovery after laparoscopic and robot-assisted radical prostatectomy

Cited by 6 publications

References 30 publications

Duration and Influencing Factors of Postoperative Urinary Incontinence after Robot-Assisted Radical Prostatectomy in a Japanese Community Hospital: A Single-Center Retrospective Cohort Study

Duration and Influencing Factors of Postoperative Urinary Incontinence after Robot-Assisted Radical Prostatectomy in a Japanese Community Hospital: A Single-Center Retrospective Cohort Study

"Single-Surgeon" versus "Dual-Surgeon" Robot-Assisted Radical Prostatectomy and Pelvic Lymph-nodes Dissection: Comparative Analysis of Perioperative Outcomes

A Comprehensive Review of the Current State of Robot-assisted Laparoscopic Salvage Prostatectomy

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