PD43-12 URINARY CONTINENCE OUTCOMES AFTER RETZIUS-SPARING ROBOT-ASSISTED RADICAL PROSTATECTOMY: A PROSPECTIVE, NON-RANDOMIZED, IDEAL STAGE 2B (EXPLORATION) STUDY.

Abstract

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy VI1 Apr 2016PD43-12 URINARY CONTINENCE OUTCOMES AFTER RETZIUS-SPARING ROBOT-ASSISTED RADICAL PROSTATECTOMY: A PROSPECTIVE, NON-RANDOMIZED, IDEAL STAGE 2B (EXPLORATION) STUDY. Firas Abdollah, Deepansh Dalela, Akshay Sood, Jesse Sammon, Madhu Ashni-Prasad, Wooju Jeong, James Peabody, and Mani Menon Firas AbdollahFiras Abdollah More articles by this author , Deepansh DalelaDeepansh Dalela More articles by this author , Akshay SoodAkshay Sood More articles by this author , Jesse SammonJesse Sammon More articles by this author , Madhu Ashni-PrasadMadhu Ashni-Prasad More articles by this author , Wooju JeongWooju Jeong More articles by this author , James PeabodyJames Peabody More articles by this author , and Mani MenonMani Menon More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1790AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Data regarding the outcomes of Retzius-Sparing robot-assisted radical Prostatectomy (RSP) are scarce in literature. This is especially true for data originating from North American patients. Our objective was to test the impact of surgical technique (RSP vs. Vattikuti Institute Prostatectomy [VIP]) on post-operative urinary continence recovery (UCR) and urinary bother symptoms in a prospective non-randomized study. METHODS We focused on 81 consecutive prostate cancer patients treated with RSP (n=41) vs. VIP (n=40), between July and December 2014, in one institution. Kaplan-Meier curves were used to estimate UCR rate after RSP vs. VIP. Univariable and multivariable regression analyses tested the relationship between surgical technique (RSP vs. VIP) and two endpoints: 1) UCR rate, defined as the use of <=1 pad/day; 2) post-operative urinary bother symptoms measured using the quality of life question in the International Prostate Symptom Score questionnaire (no bother, score 0-2; bother, score >=3). RESULTS Median age at surgery was 64.0 years. Patients treated with RSP were younger than their VIP counterparts (median: 62.0 vs. 66.5, p=0.03). At 1-, 2-, and 4-week after surgery, UCR rate was respectively 42%, 78%, and 95% for RSP patients vs. 20%, 50%, and 61% for VIP patients (p<0.001) (Figure). For the same treatment groups, the percentage of patients without urinary bother symptoms was respectively 90.9% vs. 64.3% (p=0.02) at 2-week, and 96.9% vs. 74.2% (p=0.01) at 4-week. These results were confirmed on multivariable analyses (odds ratio for RSP vs. VIP 2.19 for UCR [p=0.007] and 6.60 for urinary bother [p=0.03]). The non-randomized nature of the study is a limitation. CONCLUSIONS The use of RSP technique might significantly improve the rate of post-operative urinary continence recovery. This in turn can translate into a higher post-operative quality of life and/or patient satisfaction. Results from an ongoing randomized trial at our center may allow further validation of these findings. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e997 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Firas Abdollah More articles by this author Deepansh Dalela More articles by this author Akshay Sood More articles by this author Jesse Sammon More articles by this author Madhu Ashni-Prasad More articles by this author Wooju Jeong More articles by this author James Peabody More articles by this author Mani Menon More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...