Does the presence of median lobe affect outcomes of robot-assisted laparoscopic radical prostatectomy?

Rafael F. Coelho, Sanket Chauhan, Giuliano B. Guglielmetti, Marcelo A. Orvieto, Ananthakrishnan Sivaraman, Kenneth J. Palmer, Bernardo Rocco, Geoff Coughlin, Rayan El Hassan, Marcos F. Dall'Oglio, Vipul R. Patel

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Abstract

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

Original languageEnglish
Pages (from-to)264-270
Number of pages7
JournalJournal of Endourology
Volume26
Issue number3
DOIs
Publication statusPublished - Mar 1 2012

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ASJC Scopus subject areas

  • Urology

Cite this

Coelho, R. F., Chauhan, S., Guglielmetti, G. B., Orvieto, M. A., Sivaraman, A., Palmer, K. J., Rocco, B., Coughlin, G., Hassan, R. E., Dall'Oglio, M. F., & Patel, V. R. (2012). Does the presence of median lobe affect outcomes of robot-assisted laparoscopic radical prostatectomy? Journal of Endourology, 26(3), 264-270. https://doi.org/10.1089/end.2011.0132