Assessing the Impact of Surgeon Experience on Urinary Continence Recovery After Robot-Assisted Radical Prostatectomy: Results of Four High-Volume Surgeons

Nicola Fossati; E Di Trapani; G Gandaglia; P Dell'Oglio; P Umari; NM Buffi; G Guazzoni; A Mottrie; Franco Gaboardi; F Montorsi; A Briganti; N Suardi

doi:10.1089/end.2017.0085

Assessing the Impact of Surgeon Experience on Urinary Continence Recovery After Robot-Assisted Radical Prostatectomy: Results of Four High-Volume Surgeons

Nicola Fossati, E Di Trapani, G Gandaglia, P Dell'Oglio, P Umari, NM Buffi, G Guazzoni, A Mottrie, Franco Gaboardi, F Montorsi, A Briganti, N Suardi

Research output: Contribution to journal › Article

Abstract

PURPOSE: To test the impact of surgeon experience on urinary continence (UC) recovery after robot-assisted radical prostatectomy (RARP). MATERIALS AND METHODS: The study included 1477 consecutive patients treated with RARP by four surgeons between 2006 and 2014. UC recovery was defined as being completely dry over a 24-hour period at follow-up. Surgeon experience was coded as the total number of RARP performed by the surgeon before the patient's operation. Multivariable analysis tested the association between surgeon experience and UC recovery. Covariates consisted of patient age, Charlson comorbidity index, preoperative International Index of Erectile Function-Erectile Function domain (IIEF-EF), nerve-sparing surgery (none vs unilateral vs bilateral), and preoperative risk groups (low- vs intermediate- vs high risk). RESULTS: The number of cases performed by each surgeon was 541, 413, 411, and 112, respectively. Median follow-up was 24 months (inter-quartile range: 18, 40). The UC recovery rate at 1 year after surgery was 82%. At multivariable analyses, surgeon experience represented an independent predictor of UC recovery (hazard ratio: 1.02, p

Original language	English
Pages (from-to)	872-877
Number of pages	6
Journal	Journal of Endourology
Volume	31
Issue number	9
DOIs	https://doi.org/10.1089/end.2017.0085
Publication status	Published - 2017

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Fossati, N., Di Trapani, E., Gandaglia, G., Dell'Oglio, P., Umari, P., Buffi, NM., Guazzoni, G., Mottrie, A., Gaboardi, F., Montorsi, F., Briganti, A., & Suardi, N. (2017). Assessing the Impact of Surgeon Experience on Urinary Continence Recovery After Robot-Assisted Radical Prostatectomy: Results of Four High-Volume Surgeons. Journal of Endourology, 31(9), 872-877. https://doi.org/10.1089/end.2017.0085

Assessing the Impact of Surgeon Experience on Urinary Continence Recovery After Robot-Assisted Radical Prostatectomy: Results of Four High-Volume Surgeons. / Fossati, Nicola; Di Trapani, E; Gandaglia, G; Dell'Oglio, P; Umari, P; Buffi, NM; Guazzoni, G; Mottrie, A; Gaboardi, Franco; Montorsi, F ; Briganti, A ; Suardi, N.

In: Journal of Endourology, Vol. 31, No. 9, 2017, p. 872-877.

Research output: Contribution to journal › Article

Fossati, N, Di Trapani, E, Gandaglia, G, Dell'Oglio, P, Umari, P, Buffi, NM, Guazzoni, G, Mottrie, A, Gaboardi, F, Montorsi, F , Briganti, A & Suardi, N 2017, 'Assessing the Impact of Surgeon Experience on Urinary Continence Recovery After Robot-Assisted Radical Prostatectomy: Results of Four High-Volume Surgeons', Journal of Endourology, vol. 31, no. 9, pp. 872-877. https://doi.org/10.1089/end.2017.0085

Fossati, Nicola ; Di Trapani, E ; Gandaglia, G ; Dell'Oglio, P ; Umari, P ; Buffi, NM ; Guazzoni, G ; Mottrie, A ; Gaboardi, Franco ; Montorsi, F ; Briganti, A ; Suardi, N. / Assessing the Impact of Surgeon Experience on Urinary Continence Recovery After Robot-Assisted Radical Prostatectomy: Results of Four High-Volume Surgeons. In: Journal of Endourology. 2017 ; Vol. 31, No. 9. pp. 872-877.

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abstract = "PURPOSE: To test the impact of surgeon experience on urinary continence (UC) recovery after robot-assisted radical prostatectomy (RARP). MATERIALS AND METHODS: The study included 1477 consecutive patients treated with RARP by four surgeons between 2006 and 2014. UC recovery was defined as being completely dry over a 24-hour period at follow-up. Surgeon experience was coded as the total number of RARP performed by the surgeon before the patient's operation. Multivariable analysis tested the association between surgeon experience and UC recovery. Covariates consisted of patient age, Charlson comorbidity index, preoperative International Index of Erectile Function-Erectile Function domain (IIEF-EF), nerve-sparing surgery (none vs unilateral vs bilateral), and preoperative risk groups (low- vs intermediate- vs high risk). RESULTS: The number of cases performed by each surgeon was 541, 413, 411, and 112, respectively. Median follow-up was 24 months (inter-quartile range: 18, 40). The UC recovery rate at 1 year after surgery was 82%. At multivariable analyses, surgeon experience represented an independent predictor of UC recovery (hazard ratio: 1.02, p ",

author = "Nicola Fossati and {Di Trapani}, E and G Gandaglia and P Dell'Oglio and P Umari and NM Buffi and G Guazzoni and A Mottrie and Franco Gaboardi and F Montorsi and A Briganti and N Suardi",

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AU - Fossati, Nicola

AU - Di Trapani, E

AU - Gandaglia, G

AU - Dell'Oglio, P

AU - Umari, P

AU - Buffi, NM

AU - Guazzoni, G

AU - Mottrie, A

AU - Gaboardi, Franco

AU - Montorsi, F

AU - Briganti, A

AU - Suardi, N

PY - 2017

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N2 - PURPOSE: To test the impact of surgeon experience on urinary continence (UC) recovery after robot-assisted radical prostatectomy (RARP). MATERIALS AND METHODS: The study included 1477 consecutive patients treated with RARP by four surgeons between 2006 and 2014. UC recovery was defined as being completely dry over a 24-hour period at follow-up. Surgeon experience was coded as the total number of RARP performed by the surgeon before the patient's operation. Multivariable analysis tested the association between surgeon experience and UC recovery. Covariates consisted of patient age, Charlson comorbidity index, preoperative International Index of Erectile Function-Erectile Function domain (IIEF-EF), nerve-sparing surgery (none vs unilateral vs bilateral), and preoperative risk groups (low- vs intermediate- vs high risk). RESULTS: The number of cases performed by each surgeon was 541, 413, 411, and 112, respectively. Median follow-up was 24 months (inter-quartile range: 18, 40). The UC recovery rate at 1 year after surgery was 82%. At multivariable analyses, surgeon experience represented an independent predictor of UC recovery (hazard ratio: 1.02, p

AB - PURPOSE: To test the impact of surgeon experience on urinary continence (UC) recovery after robot-assisted radical prostatectomy (RARP). MATERIALS AND METHODS: The study included 1477 consecutive patients treated with RARP by four surgeons between 2006 and 2014. UC recovery was defined as being completely dry over a 24-hour period at follow-up. Surgeon experience was coded as the total number of RARP performed by the surgeon before the patient's operation. Multivariable analysis tested the association between surgeon experience and UC recovery. Covariates consisted of patient age, Charlson comorbidity index, preoperative International Index of Erectile Function-Erectile Function domain (IIEF-EF), nerve-sparing surgery (none vs unilateral vs bilateral), and preoperative risk groups (low- vs intermediate- vs high risk). RESULTS: The number of cases performed by each surgeon was 541, 413, 411, and 112, respectively. Median follow-up was 24 months (inter-quartile range: 18, 40). The UC recovery rate at 1 year after surgery was 82%. At multivariable analyses, surgeon experience represented an independent predictor of UC recovery (hazard ratio: 1.02, p

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DO - 10.1089/end.2017.0085

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JO - Journal of Endourology

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SN - 0892-7790

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10.1089/end.2017.0085