A propensity score-matching study on retzius-sparing robotic-assisted radical prostatectomy: Evidence of continence advantage on the early learning curve.
Asian J Surg
; 45(7): 1403-1407, 2022 Jul.
Article
in En
| MEDLINE
| ID: mdl-34690053
ABSTRACT
OBJECTIVES:
To investigate the outcome of retzius-sparing robotic-assisted radical prostatectomy (RS-RARP) compared with conventional RARP in the early learning curve.METHODS:
Consecutive patients with prostate cancer who underwent RS-RARP were included to compare against conventional RARP of the same period. Propensity-score matching was performed based on age, prostate size, nerve-sparing approach, and final pathological risk categories. All patients were re-admitted to undergo trial without Foley catheter from post-operative day 7-10. Clinical follow-up was performed with monitoring of continence (day 0, 3 months, and the latest continence during the study period) and surveillance of PSA level.RESULTS:
Between July 2017 and August 2019, 24 consecutive patients received RS-RARP in our centre. Propensity score matching was performed with the best matched 24 controls receiving conventional RARP. Overall median follow-up duration was 15.5 months. A majority of the patients belonged to the intermediate-risk group, with most of them harbouring pT2 disease (RS-RARP 87.5%; conventional RARP 79.2%). More patients in RS-RARP group achieved day-0 continence (33.3% vs 0%, p = 0.002) and 3-month continence (66.7% vs 12.5%, p = 0.001). During the whole study period, more RS-RARP achieved continence with 0 pad (91.7% vs 66.7%, p = 0.033). The mean months to continence is shorter in RS-RARP group (4.0 months vs 13.6 months, p = 0.002). No statistically significant differences between the two groups with respect to surgical margins, post-operative PSA detection, and the use of adjuvant radiotherapy.CONCLUSIONS:
RS-RARP showed better continence rates when compared to conventional RARP even during the learning curve phase.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Urinary Incontinence
/
Robotic Surgical Procedures
Type of study:
Etiology_studies
Limits:
Humans
/
Male
Language:
En
Journal:
Asian J Surg
Year:
2022
Type:
Article