You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy VIII1 Apr 2017MP97-04 URINARY CONTINENCE, SEXUAL FUNCTION AND BIOCHEMICAL RECURRENCE 12 MONTHS FOLLOWING ROBOT-ASSISTED RADICAL PROSTATECTOMY: A RANDOMIZED CONTROLLED STUDY COMPARING THE ‘BOCCIARDI’ AND ‘MENON’ TECHNIQUES Mani Menon, Deepansh Dalela, Madhu Ashni-Prasad, Marcus Jamil, Firas Abdollah, Akshay Sood, Patrick Karabon, Mireya Diaz, Sriram Eleswarapu, Jesse Sammon, Brad Baize, Andrea Simone, and Wooju Jeong Mani MenonMani Menon More articles by this author , Deepansh DalelaDeepansh Dalela More articles by this author , Madhu Ashni-PrasadMadhu Ashni-Prasad More articles by this author , Marcus JamilMarcus Jamil More articles by this author , Firas AbdollahFiras Abdollah More articles by this author , Akshay SoodAkshay Sood More articles by this author , Patrick KarabonPatrick Karabon More articles by this author , Mireya DiazMireya Diaz More articles by this author , Sriram EleswarapuSriram Eleswarapu More articles by this author , Jesse SammonJesse Sammon More articles by this author , Brad BaizeBrad Baize More articles by this author , Andrea SimoneAndrea Simone More articles by this author , and Wooju JeongWooju Jeong More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.3048AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Retzius-sparing (posterior or ′Bocciardi′ approach) of robot-assisted radical prostatectomy (RARP) has been recently suggested as a feasible alternative to the standard (anterior or ′Menon′ approach) RARP. We compared urinary continence (UC), sexual function (SF), oncological outcomes, and postoperative complications over a short term (~1-year) follow up for patients undergoing posterior vs. anterior approach RARP in a randomized trial. METHODS 120 patients with low-intermediate risk prostate cancer (PCa) undergoing RARP by a single surgeon were randomized to posterior (n=60) or anterior RARP (n=60). Recovery of SF was defined as a) erections sufficient for penetrative intercourse (ESI), and b) Sexual Health Inventory for Men (SHIM) score≥ 17. UC recovery was defined as use of 0 pad/one security pad per day. Both UC and SF recovery data were collected by an independent third party (MUSIC registry) using validated patient-reported questionnaires. Oncologic outcomes consisted of positive surgical margins (PSM) and short term (~1 year) biochemical recurrence-free survival (BCRFS). RESULTS There were no significant differences in UC at 6- or 12-months post-RARP (98.4% in posterior vs. 95% in anterior RARP) or urinary function scores in the two arms (figure 1). Amongst preoperatively potent men (SHIM≥ 17), 72.4% in anterior and 83.7% in posterior RARP group were able to have ESI one year after surgery (p=0.6); 46.2% and 59.2% had regained SHIM≥ 17 by the same time point (figure 2). There were no significant differences in the incidence of PSM (25% in posterior vs. 13.3% in anterior RARP), BCRFS (91.5% vs. 94.4% respectively) or postoperative complications over a median follow-up of 13.5 months. CONCLUSIONS In this randomized trial of patients with low-intermediate risk PCa, UC, SF, postoperative complications, and BCR rates were comparable at 12 months in patients undergoing ′Bocciardi′ vs. ′Menon′ approach RARP. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1304 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Mani Menon More articles by this author Deepansh Dalela More articles by this author Madhu Ashni-Prasad More articles by this author Marcus Jamil More articles by this author Firas Abdollah More articles by this author Akshay Sood More articles by this author Patrick Karabon More articles by this author Mireya Diaz More articles by this author Sriram Eleswarapu More articles by this author Jesse Sammon More articles by this author Brad Baize More articles by this author Andrea Simone More articles by this author Wooju Jeong More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...