PD18-05 DOES PRIOR PROSTATE SURGERY AFFECT OUTCOMES OF PATIENTS UNDERGOING ROBOTIC SIMPLE PROSTATECTOMY?

Abstract

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology III (PD18)1 Sep 2021PD18-05 DOES PRIOR PROSTATE SURGERY AFFECT OUTCOMES OF PATIENTS UNDERGOING ROBOTIC SIMPLE PROSTATECTOMY? Matthew Lee, Chinonyerem Okoro, Jennifer Lee, Aeen Asghar, David Strauss, Griffin Reyes, Shawn Shekar, Ziho Lee, Andrew Harbin, and Daniel Eun Matthew LeeMatthew Lee More articles by this author , Chinonyerem OkoroChinonyerem Okoro More articles by this author , Jennifer LeeJennifer Lee More articles by this author , Aeen AsgharAeen Asghar More articles by this author , David StraussDavid Strauss More articles by this author , Griffin ReyesGriffin Reyes More articles by this author , Shawn ShekarShawn Shekar More articles by this author , Ziho LeeZiho Lee More articles by this author , Andrew HarbinAndrew Harbin More articles by this author , and Daniel EunDaniel Eun More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002007.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Surgical management of patients with enlarged prostates and lower urinary tract symptoms (LUTS) who failed prior prostate surgery may be challenging due to increased prostatic scarring and fibrosis. We compared outcomes of robotic simple prostatectomy (RASP) in patients with a history of prior prostate surgery versus patients without a history of prior prostate surgery. METHODS: We retrospectively reviewed our multi-institutional outcomes for all consecutive patients who underwent RASP between 05/2013 and 01/2021. The indication for RASP included LUTS refractory to medical and/or surgical management, and a prostate volume ≥80 milliliters. Patients were grouped based on whether or not they underwent prior prostate surgery. Postoperatively, urinary function was assessed using the American Urological Association Symptom Score (AUASS) and Quality of Life (QOL) score. Continuous and categorical variables were compared between both groups using independent t-tests and chi-square tests, respectively; p<0.05 was considered significant. RESULTS: Overall, 520 patients met inclusion criteria (Table 1). Among the 87 (16.7%) patients who underwent prior prostate surgery, 49 (56.3%), 8 (9.2%), 1 (1.1%), 26 (29.9%) and 3 (3.4%) patients underwent transurethral resection of the prostate, transurethral microwave therapy, water vapor thermal therapy, photoselective vaporization of the prostate or prostatic urethral lift, respectively. There was no difference in mean prostate volume (p=0.40), estimated blood loss (p=0.32), robotic console time (p=0.86) or major 30-day postoperative (Clavien>2) complications (p=0.80) between both groups. With regards to urinary function, the mean improvement in preoperative and postoperative AUASS (p=0.31) and QOL scores (p=0.11) were similar between both groups. CONCLUSIONS: For management of patients with enlarged prostates and LUTS, RASP is associated with an improvement in urinary function outcomes and a low risk of postoperative complications. Perioperative outcomes of RASP are similar in patients who underwent prior prostate surgery versus those that did not undergo prior prostate surgery. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e356-e357 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Matthew Lee More articles by this author Chinonyerem Okoro More articles by this author Jennifer Lee More articles by this author Aeen Asghar More articles by this author David Strauss More articles by this author Griffin Reyes More articles by this author Shawn Shekar More articles by this author Ziho Lee More articles by this author Andrew Harbin More articles by this author Daniel Eun More articles by this author Expand All Advertisement Loading ...