Outcomes of Robotic Simple Prostatectomy After Prior Failed Endoscopic Treatment of Benign Prostatic Hyperplasia.
We retrospectively reviewed our multi-institutional database for all consecutive patients who underwent RASP between 05/2013 and 01/2021.
Postoperatively, urinary function was assessed using the American Urological Association Symptom Score (AUASS) and Quality of Life (QOL) score.
Overall, 520 patients met inclusion criteria. Among the 87 (16.7%) patients who underwent prior prostate surgery, 49 (56.3%), 26 (29.9%), 8 (9.2%), 3 (3.4%) and 1 (1.1%) patients underwent transurethral resection of the prostate, photoselective vaporization of the prostate, transurethral microwave therapy, prostatic urethral lift or water vapor thermal therapy, 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), QOL scores (p=0.11) and continence rates were similar between both groups.
For management of patients with BPH 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.
Journal of endourology. 2023 Mar 16 [Epub ahead of print]
Matthew Lee, David M Strauss, Ziho Lee, Andrew Harbin, Daniel Eun
Temple University Hospital, 25139, Urology, 3401 N Broad Street, Philadelphia, Pennsylvania, United States, 19140-5192; ., Temple University School of Medicine, 12314, Urology, Philadelphia, Pennsylvania, United States; ., Temple University Hospital, 25139, TUH Parkinson Pavilion (Zone C), 3rd Floor, 3401 N. Broad Street, Philadelphia, Pennsylvania, United States, 19140-5192; ., Chesapeake Urology, Urology, Westminster, Maryland, United States; ., Temple University, Urology, 255 South 17th street, 7th Floor Urology Suite, Philadelphia, Pennsylvania, United States, 19103; .
PubMed http://www.ncbi.nlm.nih.gov/pubmed/36924293
Go Beyond the Abstract and Read a Commentary by Matthew Lee, MD, MBA & Daniel Eun, MD
Go Beyond the Abstract and Read a Commentary by Andrew Harbin, MD