TY - JOUR
T1 - How to optimize patient selection for robot-assisted radical prostatectomy
T2 - Functional outcome analyses from a tertiary referral center
AU - Gandaglia, Giorgio
AU - Suardi, Nazareno
AU - Gallina, Andrea
AU - Zaffuto, Emanuele
AU - Cucchiara, Vito
AU - Vizziello, Damiano
AU - Shariat, Shahrokh
AU - Cantiello, Francesco
AU - Damiano, Rocco
AU - Guazzoni, Giorgio
AU - Montorsi, Francesco
AU - Briganti, Alberto
PY - 2014/7/1
Y1 - 2014/7/1
N2 - Introduction: The role of surgical approach on functional outcomes recovery in prostate cancer (PCa) patients treated with bilateral nerve-sparing radical prostatectomy (BNSRP) is still debated. In this study, we examine the association between the surgical approach and functional outcomes after BNSRP. Patients and Methods: The study included 609 patients treated with robot-assisted radical prostatectomy (RARP) or open radical prostatectomy (ORP) between June 2008 and January 2011. Erectile function recovery was defined as an International Index of Erectile Function-Erectile Function domain (IIEF-EF) score ≥22. Urinary continence recovery was defined as being completely pad-free over a 24-hour period. Patients were stratified according to their probability of postoperative erectile dysfunction and urinary incontinence, according to previously published predictive models. Multivariable logistic regression tested the association between the surgical approach and functional outcomes recovery in the overall population after stratifying patients according to their risk of erectile dysfunction and urinary incontinence. Results: Patients treated with RARP had higher 2-year erectile function (52.1% vs 67.8%; P
AB - Introduction: The role of surgical approach on functional outcomes recovery in prostate cancer (PCa) patients treated with bilateral nerve-sparing radical prostatectomy (BNSRP) is still debated. In this study, we examine the association between the surgical approach and functional outcomes after BNSRP. Patients and Methods: The study included 609 patients treated with robot-assisted radical prostatectomy (RARP) or open radical prostatectomy (ORP) between June 2008 and January 2011. Erectile function recovery was defined as an International Index of Erectile Function-Erectile Function domain (IIEF-EF) score ≥22. Urinary continence recovery was defined as being completely pad-free over a 24-hour period. Patients were stratified according to their probability of postoperative erectile dysfunction and urinary incontinence, according to previously published predictive models. Multivariable logistic regression tested the association between the surgical approach and functional outcomes recovery in the overall population after stratifying patients according to their risk of erectile dysfunction and urinary incontinence. Results: Patients treated with RARP had higher 2-year erectile function (52.1% vs 67.8%; P
UR - http://www.scopus.com/inward/record.url?scp=84903708362&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84903708362&partnerID=8YFLogxK
U2 - 10.1089/end.2014.0007
DO - 10.1089/end.2014.0007
M3 - Article
C2 - 24660774
AN - SCOPUS:84903708362
VL - 28
SP - 792
EP - 800
JO - Journal of Endourology
JF - Journal of Endourology
SN - 0892-7790
IS - 7
ER -