Radical prostatectomy: a prospective comparison of oncological and functional results between open and laparoscopic approaches

Roumeguère, Thierry; Bollens, Renaud; Bossche, Marc Vanden; Rochet, D; Bialek, David; Hoffman, Paul S.; Quackels, Thierry; Damoun, A.; Wespes, Eric; Schulman, Claude; Zlotta, Alexandre R.

doi:10.1007/s00345-002-0306-z

Cited by 131 publications

(38 citation statements)

References 30 publications

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“…The rate of occurrence of BNC in patients undergoing ORP was similar to the results of studies conducted after 2000 [4,8,9], but the rate of occurrence in patients undergoing LRP was higher than in previous studies [10]. …”

Section: Discussionsupporting

confidence: 82%

“…In the 1990s, its prevalence was as high as 30% [3], but the prevalence has been reduced to 2.0% to 5.0% through advancements in surgical techniques and the introduction of new surgical methods, including robot-assisted laparoscopic radical prostatectomy (RARP) and pure laparoscopic radical prostatectomy (LRP) [4-6]. However, even though the prevalence of BNC has been reduced dramatically, when it does occur, BNC markedly reduces the quality of life of patients, and endoscopic operative procedures such as transurethral bladder neck incisions must be performed in cases refractory to metal sound dilation [7].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Risk Factors of Bladder Neck Contracture After Radical Prostatectomy

et al. 2013

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PurposeTo evaluate the prevalence of bladder neck contracture (BNC) and its risk factors in patients undergoing radical prostatectomy in Korea.Materials and MethodsWe analyzed data from 488 patients with prostatic cancer who underwent radical prostatectomy performed by seven surgeons in seven hospitals, including 365 open radical prostatectomies (ORPs), 99 laparoscopic radical prostatectomies (LRPs), and 24 robot-assisted laparoscopic radical prostatectomies (RARPs). Patients with BNCs were compared with those without BNCs to identify the risk factors for BNC occurrence.ResultsOverall, BNCs occurred in 21 of 488 patients (4.3%): 17 patients (4.7%) who underwent ORP, 4 patients (4%) who underwent LRP, and no patients who underwent RARP. In the univariate analysis, men with BNCs had a longer length of time before drain removal (12 days vs. 6.8 days, p<0.001), which reflected urinary leakage through the vesicourethral anastomosis. In the multivariate analysis, the length of time before drain removal was the only predictor of BNC (odds ratio, 1.12; p=0.001). Intraoperative blood loss was higher in patients with BNC, but the difference was not statistically significant.ConclusionsThe most significant factor related to BNC occurrence after radical prostatectomy in our study was the length of time before drain removal, which reflects urinary leakage from the vesicourethral anastomosis. The proper formation of a watertight anastomosis to decrease urinary leakage may help to reduce the occurrence of BNC.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Prevalence and Risk Factors of Bladder Neck Contracture After Radical Prostatectomy

et al. 2013

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“…‘return of any erections’, ‘adequate enough for penetration’, and ‘any potency’). Regardless, the reported rates one year postoperatively for a consecutive series are as follows: post-RPP 41-80%, post-RRP 50-55%, post-RALP 53-81%, and post-LAP 52.5-65% [6, 52, 56–59]. …”

Section: Discussionmentioning

confidence: 99%

UROLOGICAL ONCOLOGY Radical perineal prostatectomy – the contemporary resurgence of a genuinely minimally invasive procedure: Procedure outline. Comparison of the advantages, disadvantages, and outcomes of different surgical techniques of treating organ-confined prostate cancer (PCa). A literature review with special focus on perineal prostatectomy

Wroński¹

2012

cejurol4/2012

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IntroductionSurgery plays a central role in the management of organ-confined prostate cancer (PCa). Four types of prostatectomy are currently practiced: perineal, retropubic, laparoscopic, and robot-assisted. The qualification criteria for all types are similar. Radical perineal prostatectomy (RPP) was the first method introduced into clinical practice, however, it has been neglected in favor of other procedures. Its resurgence has been facilitated by a multitude of advantages. Unfortunately, nowadays most urologists are not familiar with the perineal approach though many centers have begun to implement it.Materials and methodsThis manuscript presents the technique of RPP used in the author's institution. It also reviews a vast body of literature on the four techniques of prostatectomy including their advantages and outcomes. The data was collected from the literature and medical databases.ConclusionRPP proves to be a very efficacious, cost-effective treatment option for localized PCa. The outcomes of RPP, as defined by continence, potency, and complication rate, are equivalent to those accomplished by other methods.

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“…Prospective comparative studies of ORP and LRP have however demonstrated equivalency of oncologic results with regard to BCR and PSM. [4–8] The end point of the present report is not a comparison of oncological efficacy of LRP other approaches or treatment modalities, but rather a description of oncologic results of 6 year of experience with LRP across all risk groups.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic radical prostatectomy: Oncological outcome analysis from a single-center Indian experience of 6 years

et al. 2012

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Background:There is a lack of published data on laparoscopic radical prostatectomy (LRP) in India. Although the published short-term oncologic outcomes after LRP are encouraging, intermediate and long-term data are lacking.Objective:We analyzed the oncological outcome after LRP based on 6 years of experience and compared it with the other single-center published literature.Materials and Methods:Of the 90 patients who underwent LRP for a clinical T2 localized disease, 73 patients with at least a follow up of one year were analyzed. Patients were classified as low-, intermediate-, and high-risk D′Amico groups in 22 (30%), 26 (36%), and 25 (34%) of the patient population, respectively. Progression of disease was defined as a PSA of 0.4ng/ml with a confirmatory rise. We used Kaplan-Meier product limit estimates to calculate actuarial 5-year probabilities of biochemical progression-free survival. Univariate analysis of risk factors for biochemical recurrence (BCR) was done.Results:The mean age of the patients was 63.3 ± 6.6 years. The average follow-up for patients was 22 (12-72) months. There was no prostatic cancer-specific mortality. Fourteen patients had BCR. The 5-year progression-free probability for men with low-, intermediate-, and high-risk prostate cancers was 91%, 82%, and 58%, respectively. High-risk group, Gleason sum more than 8, extracapsular extension, and positive surgical margin were significantly associated with biochemical progression.Conclusions:LRP provided a similar level of oncological success as reported by the other contemporary single-center published literature

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Radical prostatectomy: a prospective comparison of oncological and functional results between open and laparoscopic approaches

Cited by 131 publications

References 30 publications

Prevalence and Risk Factors of Bladder Neck Contracture After Radical Prostatectomy

Prevalence and Risk Factors of Bladder Neck Contracture After Radical Prostatectomy

Laparoscopic radical prostatectomy: Oncological outcome analysis from a single-center Indian experience of 6 years

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