PD30-07 QUANTITATION OF LONG TERM STABILITY AND SPECIFIC RELIEF OF LOWER URINARY TRACT SYMPTOMS (LUTS) AFTER ROBOT-ASSISTED RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy II1 Apr 2016PD30-07 QUANTITATION OF LONG TERM STABILITY AND SPECIFIC RELIEF OF LOWER URINARY TRACT SYMPTOMS (LUTS) AFTER ROBOT-ASSISTED RADICAL PROSTATECTOMY Adam Gordon, Douglas Skarecky, Kathyrn Osann, Harleen Dhaliwal, Blanca Morales, and Thomas Ahlering Adam GordonAdam Gordon More articles by this author , Douglas SkareckyDouglas Skarecky More articles by this author , Kathyrn OsannKathyrn Osann More articles by this author , Harleen DhaliwalHarleen Dhaliwal More articles by this author , Blanca MoralesBlanca Morales More articles by this author , and Thomas AhleringThomas Ahlering More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.538AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The primary goal of radical prostatectomy (RP) is cancer control, but intuitively it is also an incidental treatment for LUTS relief by removing obstructive prostatic symptoms, but at what cost is it to men with mild LUTS? This study assesses long-term changes in AUA symptom scores (AUAss) in patients after robot-assisted RP (RARP). METHODS RARP was performed on 666 men, by one surgeon from 2002-2007 at a single institution. I-PSS were queried preoperatively and at 3, 9, 15, 24-48, 60-84, and 96+ months postoperatively. 174 men reported preoperative and long-term responses, average FU of 5.8 years (Range 4.0- 10.3 Yrs). RESULTS The average follow up for all men was 3.0 years and pad free continence at 12 months was 89%. Table 1 shows the baseline demographics of respondents is not significantly different from non-respondents. AUAss for all men declined from baseline to 5 Years by 3.7 (8.6 to 4.8), while QOL/Bother scores decreased by 0.5 (1.7 to 1.2), all p < .05. Men with mild LUTS remained statistically and clinically unchanged at 5 years in respect to preoperative AUA scores. In contrast, individuals with moderate/severe preoperative LUTS markedly declined in AUA and QOL scores, all p ≤ 0.05, Figure 1. Long-term improvements in each individual AUA category are shown for the long-term men (5+years) across the 3 LUTS groups, Figure 2. CONCLUSIONS Men with mild LUTS have short term increases in AUA but return to baseline IPSS and are stable at 5 years. Benefits were found for men with preoperative moderate/severe LUTS in that 63% had significant QOL improvements, and 68% reduced their AUA scores to mild LUTS, persisting years after RARP. Men should be counseled that RARP confers a significant long-term benefit in men with moderate/severe AUAss, improving LUTS and QOL. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e714 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Adam Gordon More articles by this author Douglas Skarecky More articles by this author Kathyrn Osann More articles by this author Harleen Dhaliwal More articles by this author Blanca Morales More articles by this author Thomas Ahlering More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...