TY - JOUR
T1 - Does the presence of median lobe affect outcomes of robot-assisted laparoscopic radical prostatectomy?
AU - Coelho, Rafael F.
AU - Chauhan, Sanket
AU - Guglielmetti, Giuliano B.
AU - Orvieto, Marcelo A.
AU - Sivaraman, Ananthakrishnan
AU - Palmer, Kenneth J.
AU - Rocco, Bernardo
AU - Coughlin, Geoff
AU - Hassan, Rayan El
AU - Dall'Oglio, Marcos F.
AU - Patel, Vipul R.
PY - 2012/3/1
Y1 - 2012/3/1
N2 - Purpose: To determine whether the presence of median lobe (ML) affects perioperative outcomes, positive surgical margin (PSM) rates, and recovery of urinary continence after robot-assisted radical prostatectomy (RARP). Patients and Methods: We analyzed 1693 consecutive patients undergoing RARP performed by a single surgeon. Patients were analyzed in two groups based on the presence or not of a ML identified during RARP. Perioperative outcomes, PSM rates, and recovery of urinary continence were compared between the groups. Continence was assessed using validated questionnaires, and it was defined as the use of "no pads" postoperatively. Results: A ML was identified in 323 (19%) patients. Both groups had similar estimated blood loss, length of hospital stay, pathologic stage, complication rates, anastomotic leakage rates, overall PSM rates, and PSM rate at the bladder neck. The median overall operative time was slightly greater in patients with ML (80 vs 75min, P
AB - Purpose: To determine whether the presence of median lobe (ML) affects perioperative outcomes, positive surgical margin (PSM) rates, and recovery of urinary continence after robot-assisted radical prostatectomy (RARP). Patients and Methods: We analyzed 1693 consecutive patients undergoing RARP performed by a single surgeon. Patients were analyzed in two groups based on the presence or not of a ML identified during RARP. Perioperative outcomes, PSM rates, and recovery of urinary continence were compared between the groups. Continence was assessed using validated questionnaires, and it was defined as the use of "no pads" postoperatively. Results: A ML was identified in 323 (19%) patients. Both groups had similar estimated blood loss, length of hospital stay, pathologic stage, complication rates, anastomotic leakage rates, overall PSM rates, and PSM rate at the bladder neck. The median overall operative time was slightly greater in patients with ML (80 vs 75min, P
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U2 - 10.1089/end.2011.0132
DO - 10.1089/end.2011.0132
M3 - Article
C2 - 22050508
AN - SCOPUS:84857823182
VL - 26
SP - 264
EP - 270
JO - Journal of Endourology
JF - Journal of Endourology
SN - 0892-7790
IS - 3
ER -