MP59-06 A TOTAL OF 405 CASES OF SINGLE-PORT VS MULTI-PORT ROBOT-ASSISTED SIMPLE PROSTATECTOMY: A MULTI-INSTITUTIONAL COHORT FROM THE SPARC GROUP

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP59-06 A TOTAL OF 405 CASES OF SINGLE-PORT VS MULTI-PORT ROBOT-ASSISTED SIMPLE PROSTATECTOMY: A MULTI-INSTITUTIONAL COHORT FROM THE SPARC GROUP Roxana Ramos, Ethan Ferguson, Kennedy E. Okhawere, Teona Iarajuli, Samantha Wilder, Ruben S. Calvo, Jaya S Chavali, Indu Saini, Ruth Sanchez De La Rosa, James Peabody, Simone Crivellaro, Craig Rogers, Michael Stifelman, Mutahar Ahmed, Ketan Badani, and Jihad Kaouk Roxana RamosRoxana Ramos More articles by this author , Ethan FergusonEthan Ferguson More articles by this author , Kennedy E. OkhawereKennedy E. Okhawere More articles by this author , Teona IarajuliTeona Iarajuli More articles by this author , Samantha WilderSamantha Wilder More articles by this author , Ruben S. CalvoRuben S. Calvo More articles by this author , Jaya S ChavaliJaya S Chavali More articles by this author , Indu SainiIndu Saini More articles by this author , Ruth Sanchez De La RosaRuth Sanchez De La Rosa More articles by this author , James PeabodyJames Peabody More articles by this author , Simone CrivellaroSimone Crivellaro More articles by this author , Craig RogersCraig Rogers More articles by this author , Michael StifelmanMichael Stifelman More articles by this author , Mutahar AhmedMutahar Ahmed More articles by this author , Ketan BadaniKetan Badani More articles by this author , and Jihad KaoukJihad Kaouk More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003312.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Single-port (SP) robot-assisted simple prostatectomy (RASP) is a novel approach for patients with obstructive benign prostatic hyperplasia. Our aim is to report updated data comparing SP vs multi-port (MP) robotic systems. METHODS: We analyzed all consecutive RASP cases done in 5 centers in the US from January 2017 to October 2022. Measures of central tendency were compared with t-test or Mann-Whitney U test depending on their distribution. Frequencies were compared with Chi-square. Statistical significance was considered when p≤0.05. RESULTS: A total of 405 cases were analyzed, 249 MP and 156 SP. The SP group patients were significantly more symptomatic (p=0.0001). Estimated blood loss during surgery was significantly lower with SP (p=0.00001). Even though the rate of intraoperative complications was higher with SP (3.2% vs 0.4%), the difference was not significant (p=0.06). Postoperatively, SP approach required significantly shorter time of hospital stay, less use and amount of opioids, and shorter time with Foley catheter (all p’s=0.00001). There was no significant difference between the post-operative Clavien Dindo ≥3 complication rate (MP 2.4% vs SP 0.6%) Furthermore, the 30-day readmission rate of MP (10.8%) was significantly higher than SP’s (0%) (p=0.00001). CONCLUSIONS: The SP robotic approach for simple prostatectomy is advantageous when it comes to postoperative comfort for the patients. Specifically it requires shorter hospital stay, less use and amount of opioids, shorter Foley catheter duration, and less readmission rate. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e808 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Roxana Ramos More articles by this author Ethan Ferguson More articles by this author Kennedy E. Okhawere More articles by this author Teona Iarajuli More articles by this author Samantha Wilder More articles by this author Ruben S. Calvo More articles by this author Jaya S Chavali More articles by this author Indu Saini More articles by this author Ruth Sanchez De La Rosa More articles by this author James Peabody More articles by this author Simone Crivellaro More articles by this author Craig Rogers More articles by this author Michael Stifelman More articles by this author Mutahar Ahmed More articles by this author Ketan Badani More articles by this author Jihad Kaouk More articles by this author Expand All Advertisement PDF downloadLoading ...