Extraperitoneal Robotic Assisted Radical Prostatectomy

UroToday.com - This report demonstrates that excellent surgical results are possible with rapid OR times in the hands of experienced robotic surgeons. The authors reported that over a 27 month period at the University of Rochester Medical Center 375 men underwent robotic assisted radical prostatectomy. Average intra-operative time was just 160 minutes with a mean blood loss of under 200cc's. No open conversions occurred in this series.

In 78% of cases bilateral nerve sparing was performed and unilateral nerve preservation in an additional 16%. A positive surgical margin rate of 15% was reported with continence rates of 97% at 6 months.

Using the International Index of Erectile Function questionnaire among the nearly 80% of men who underwent bilateral nerve sparing mild or no erectile dysfunction (scores >21) were measured in 70%. In summary, excellent cancer control and reasonable erectile preservation was noted in this large single center series of 375 men undergoing robotic prostatectomy.

AUA 2006 - Abstract 1153 - Joseph et al

Reviewed by UroToday.com Contributing Editor Gerry Brock, MD

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