PROSTATECTOMÍA RADICAL ASISTIDA POR ROBOT: RESULTADOS FUNCIONALES

Coughlin Geoff, Kenneth J. Palmer, Ketul Shah, Vipul R. Patel

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Archivos Españoles de Urología ›› 2007, Vol. 60 ›› Issue (4) : 409-419. DOI: 10.4321/S0004-06142007000400011
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PROSTATECTOMÍA RADICAL ASISTIDA POR ROBOT: RESULTADOS FUNCIONALES

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Abstract

OBJECTIVES: To present a contemporary review of the functional outcomes following robotic-assisted radical prostatectomy based on published postoperative erectile function and urinary continence data.METHODS: A review of the available literature on Medline and PubMed databases was performed.RESULTS: Factors affecting erectile function include age, preoperative SHIM scores, co-morbidities and nerve sparing techniques. Large robotic-assisted laparoscopic radical prostatectomy (RALP) series like the Vattikuti Institute’s and Ohio State University’s demonstrate early potency outcomes: 70% and 80% of patients, respectively, who underwent bilateral nerve sparing and had a pre-operative SHIM score >17, regained potency after a follow-up of 12 months. This has also been reproduced by smaller series, where 43% of patients achieved potency within 3 months postop and 68%, 79% of patients who underwent unilateral or bilateral nerve sparing, respectively, were able to have intercourse with or without PDE5 inhibitors after 12 months follow-up. Postoperative continence rates after RALP for larger series are 76%-92% and 95.2%-98% while that for smaller series range from 76% and 89% at 3 and 12 months, respectively.CONCLUSIONS: RALP is a safe, minimally invasive procedure that produces functional outcomes comparable to contemporary results of both open and laparoscopic prostatectomy.

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Robotic prostatectomy / Laparoscopy / Prostate cancer / Post-prostatectomy potency / Post-prostatectomy continence

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Coughlin Geoff , Kenneth J. Palmer , Ketul Shah , Vipul R. Patel. PROSTATECTOMÍA RADICAL ASISTIDA POR ROBOT: RESULTADOS FUNCIONALES. Archivos Españoles de Urología. 2007, 60(4): 409-419 https://doi.org/10.4321/S0004-06142007000400011

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