eISSN: 3023-6940
  • Home
  • How Does Previous Transurethral Resection of the Prostate Affect the Results of Robotic Radical Prostatectomy?

Original Research

How Does Previous Transurethral Resection of the Prostate Affect the Results of Robotic Radical Prostatectomy?


1 Sağlık Bilimleri Üniversitesi, Kayseri Şehir Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Kayseri

2 Koç Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, İstanbul

3 Yıldırım Beyazıt Üniversitesi Tıp Fakültesi, Ankara Atatürk Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara

4 Ankara Atatürk Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara


DOI : 10.33719/yud.582509
New J Urol. 2019; 14 (2): 91-98

Abstract

Objective: We investigated the impact of transurethral resection of the prostate (TUR-P) on perioperative outcomes in patients who underwent robot assisted radical prostatectomy (RARP).

Material and Methods: A total of 752 cases per- formed by 3 surgeons between February 2009 and December 2017 were reviewed retrospectively. First 100 cases of each surgeon were not included to ex- clude the learning curve effect. All patients (n = 452) were divided into two groups according to having a previous TUR-P history as Group 1 = patients with TUR-P history (n = 38), Group 2 = patients without TUR-P history (n = 414).

Results: Mean patient age was 68.3± 5.9 ver- sus 63.3±6.8 years p=0.00; mean console time was 144.3±37.1 versus 124.6±24.0 minutes, p=0.02; blad- der neck reconstruction was 31.6% versus 16.7%, p=0.02; transurethral catheter removal time was 11.3±5.1 versus 8.6±2.7 days, p=0.00; for groups 1 and 2, respectively. Positive surgical margin rates were 26.3% versus 27.3%, p=0.897; erectile func- tion (IIEF≥17) rates on postoperative 12th-month were 60% versus 67%, p=0.644 for groups 1 and 2, respectively. First 3 months continence rates were 52.6% versus 72%, p=0.035 for groups 1 and group

2, respectively. Postoperative 12. month continence rates were similar for group 1 and 2(94.7% vs 97.3%; p=0.562).

Conclusion: RARP after TUR-P has similar oncological outcomes, longer operative time, worse postoperative early continence acquisition rates and longer urethral catheter removal time.

Keywords: Prostate cancer, robotic prostatec- tomy, TUR-P, previous surgery


Abstract

Objective: We investigated the impact of transurethral resection of the prostate (TUR-P) on perioperative outcomes in patients who underwent robot assisted radical prostatectomy (RARP).

Material and Methods: A total of 752 cases per- formed by 3 surgeons between February 2009 and December 2017 were reviewed retrospectively. First 100 cases of each surgeon were not included to ex- clude the learning curve effect. All patients (n = 452) were divided into two groups according to having a previous TUR-P history as Group 1 = patients with TUR-P history (n = 38), Group 2 = patients without TUR-P history (n = 414).

Results: Mean patient age was 68.3± 5.9 ver- sus 63.3±6.8 years p=0.00; mean console time was 144.3±37.1 versus 124.6±24.0 minutes, p=0.02; blad- der neck reconstruction was 31.6% versus 16.7%, p=0.02; transurethral catheter removal time was 11.3±5.1 versus 8.6±2.7 days, p=0.00; for groups 1 and 2, respectively. Positive surgical margin rates were 26.3% versus 27.3%, p=0.897; erectile func- tion (IIEF≥17) rates on postoperative 12th-month were 60% versus 67%, p=0.644 for groups 1 and 2, respectively. First 3 months continence rates were 52.6% versus 72%, p=0.035 for groups 1 and group

2, respectively. Postoperative 12. month continence rates were similar for group 1 and 2(94.7% vs 97.3%; p=0.562).

Conclusion: RARP after TUR-P has similar oncological outcomes, longer operative time, worse postoperative early continence acquisition rates and longer urethral catheter removal time.

Keywords: Prostate cancer, robotic prostatec- tomy, TUR-P, previous surgery