Detrusorrhaphy and Intrafascial Nerve-Sparing During Robot-Assisted Radical Prostatectomy on Recovery of Continence and Potency: Surgical Feasibility, One-Year Functional and Oncologic Outcomes
- Authors
- Shin, Tae Young; Lee, Yong Seong
- Issue Date
- May-2021
- Publisher
- UROL & NEPHROL RES CTR-UNRC
- Keywords
- prostate cancer; robot-assisted radical prostatectomy; continence; nerve-sparing; erectile function
- Citation
- UROLOGY JOURNAL, v.18, no.3, pp 314 - 321
- Pages
- 8
- Journal Title
- UROLOGY JOURNAL
- Volume
- 18
- Number
- 3
- Start Page
- 314
- End Page
- 321
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/74454
- DOI
- 10.22037/uj.v16i7.5915
- ISSN
- 1735-1308
1735-546X
- Abstract
- Purpose: To report the 1-year functional outcomes, oncologic outcomes, and postoperative complications in pa-tients who underwent modified robot-assisted radical prostatectomy (RARP) procedures for achieving early recov-ery of continence and potency postoperatively. Materials and Methods: This study included 165 patients who underwent RARP. Overall, 98 patients underwent RARP using our modified detrusorrhaphy and intrafascial nerve-sparing techniques (group 1) and 67 underwent standard RARP (group 2). Continence and potency rates were assessed at 1 week, 1, 3, 6, and 12 months after RARP. Oncologic outcomes comprised positive surgical margins (PSMs) and biochemical recurrence (BCR) rate. Results: The continence rates were 61.2% and 6.0%, 72.5% and 11.9%, 79.6% and 20.9%, 91.8% and 58.2%, and 97.9% and 74.6% at 1 week, 1, 3, 6, and 12 months in group 1 and 2, respectively. The potency rates were 66.3% and 11.9%, 78.6% and 38.8%, 85.7% and 50.8%, 92.9% and 70.2%, and 95.9% and 79.1% at 1 week, 1, 3, 6, and 12 months in group 1 and 2, respectively. Overall postoperative complication rates (< 10%) were similar between the groups. The PSMs rate was 17.4% and 16.4% in the two groups. The rate of PSMs in the cohort of patients with stage pT2 disease decreased to 13.6% and 12.5% in groups 1 and 2, respectively. BCR rate was 5.1% and 6.0% in groups 1 and 2, respectively. Conclusion: The use of detrusorrhaphy and intrafascial nerve-sparing techniques is safe and feasible, with our results demonstrating early return to continence and potency. Further studies should be conducted.
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