333 RADICAL RETROOUBIC PROSTATECTOMY VS ROBOT ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY A QUALITY OF LIFE COMPARISON

Abstract

You have accessJournal of UrologyProstate Cancer: Epidemiology and Natural History II1 Apr 2012333 RADICAL RETROOUBIC PROSTATECTOMY VS ROBOT ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY A QUALITY OF LIFE COMPARISON John Gannon, Christopher Dechet, Robert Stephenson, Arthur Hartz, and Tao He John GannonJohn Gannon Salt Lake City, UT More articles by this author , Christopher DechetChristopher Dechet Salt Lake City, UT More articles by this author , Robert StephensonRobert Stephenson Salt Lake City, UT More articles by this author , Arthur HartzArthur Hartz Salt Lake City, UT More articles by this author , and Tao HeTao He Salt Lake City, UT More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.394AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To evaluate and compare the quality of life outcomes of patients undergoing radical retropubic prostatectomy (RRP) and Robotically Assisted Laparoscopic Radical Prostatectomy (RALRP). METHODS Eight hundred and thirty-six, non-randomized patients undergoing RRP or RALRP at one institution involving 2 surgeons were prospectively evaluated using the long form Expanded Prostate Cancer Index Composite (EPIC). Patients were evaluated preoperatively and post-operatively at 3, 6, 9, 12, 18, and 24 months. RESULTS Excluding patients with Stage >T3, Gleason score >7 and patients undergoing a non-nerve sparing procedure, 418 patients underwent RALRP and 421 patients underwent RRP by 2 surgeons. Significant differences existed between tumor grade, stage, Gleason score (p<0.05) and age; reflecting an institutional bias to select higher grade and higher volume tumors for RRP. No significant difference was noted in post-operative complications by clavian scores. Robotic surgery had no significant impact on EPIC urinary function scores. Age had a significant impact on post-operative urinary function. Of the 243 patients who had a nerve sparing procedure and adequate pre-operative sexual function, no significant difference was noted between robotic and open prostatectomy. Age and degree of nerve sparing had a significant impact on post-operative sexual function (p<0.05). CONCLUSIONS Our non-randomized prospective comparison of quality of life outcomes between patients undergoing RRP vs RALRP revealed no significant differences in post-operative urinary and sexual function scores. Robotic (N=415) Open (N=421) Age* 60.0(43 to 78) 62.1(44 to 79) Stage T2* 83.1% 65.8% Gleason Score* < 7 50.2% 34.8% Gleason Score 7 46.1% 51.2% Gleason Score > 7 3.62% 14.1% Prostate weight* 52 gm 60gm Obesity (BMI>30) 27.5% 29.6% © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e135-e136 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information John Gannon Salt Lake City, UT More articles by this author Christopher Dechet Salt Lake City, UT More articles by this author Robert Stephenson Salt Lake City, UT More articles by this author Arthur Hartz Salt Lake City, UT More articles by this author Tao He Salt Lake City, UT More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...