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ORIGINAL ARTICLE
Year : 2020  |  Volume : 31  |  Issue : 6  |  Page : 267-272

Surgical and functional outcomes of robotic-assisted radical prostatectomy in patients with previous transurethral resection of the prostate


1 Department of Urology, E-Da Hospital, Kaohsiung, Taiwan
2 Department of Urology, E-Da Hospital; Department of Chemical Engineering, Institute of Biotechnology and Chemical Engineering; Department of Nursing; School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan
3 Department of Urology, E-Da Hospital; School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan
4 Department of Urology, E-Da Hospital; Department of Chemical Engineering, Institute of Biotechnology and Chemical Engineering, I-Shou University; School of Medicine, College of Medicine, I-Shou University, Kaohsiung, Taiwan
5 Department of Chemical Engineering, Institute of Biotechnology and Chemical Engineering; School of Medicine, College of Medicine, I-Shou University; Department of Urology, E-Da Cancer Hospital, Kaohsiung, Taiwan
6 Department of Urology, E-Da Hospital; School of Medicine, College of Medicine; School of Medicine for International Students, I-Shou University, Kaohsiung, Taiwan

Correspondence Address:
Victor Chia-Hsiang Lin
No. 1, Yida Road, Jiaosu Li, Yanchao District, Kaohsiung City
Taiwan
Yung-Yao Lin
No. 1, Yida Road, Jiaosu Li, Yanchao District, Kaohsiung City
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/UROS.UROS_76_20

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Purpose: The purpose of this study was to assess the surgical and functional outcomes of robotic-assisted radical prostatectomy (RARP) in patients with previous transurethral resection of the prostate (TURP). Materials and Methods: The present article studies 99 patients who underwent RARP, including 13 patients with previous TURP at a single institution, in the period from April 2016 to February 2019. Propensity score matching 1:1 was performed to identify 13 patients with no previous TURP. The matched variables were age and preoperative prostate-specific antigen level. Surgical and functional outcomes were compared between the two groups. Descriptive statistics were evaluated using the Chi-square test. t-test was performed for continuous variables. Results: Regarding preoperative characteristics, no previous TURP group had a higher clinical stage (P = 0.026). The nerve-sparing procedure was similar between the two groups. Concerning intraoperative outcomes for the group with previous TURP history, the operating room time was increased by 25 min (P = 0.140), and the estimated blood loss was increased by 50 ml (P = 0.192). As for the postoperative pathological characteristics, there was no significant difference in the positive surgical margin rate between the two groups. The continence rate in the 3rd month for the group with previous TURP history was 69.2% versus 92.3% for the group with no previous TURP history, and after the 1st year, the rates were 100% versus. 92.3%. There was no significant difference in the potence recovery rate between the two groups after 1-year follow-up. Conclusion: RARP is safe and feasible in patients with localized prostate cancer with previous TURP history. Functional outcomes after 1-year follow-up were comparable for patients with previous TURP.


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