Evaluating Surgical Outcomes of Robot Assisted Simple Prostatectomy in the Retreatment Setting

Alaina Garbens; Hal Kominsky; Jessica Dai; Ryan L. Steinberg; Hersh Trivedi; Sam Kusin; Claus Roehrborn; Jeffrey Gahan

doi:10.1016/j.urology.2022.07.044

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Evaluating Surgical Outcomes of Robot Assisted Simple Prostatectomy in the Retreatment Setting

Journal article

Peer reviewed

Evaluating Surgical Outcomes of Robot Assisted Simple Prostatectomy in the Retreatment Setting

Alaina Garbens, Hal Kominsky, Jessica Dai, Ryan L. Steinberg, Hersh Trivedi, Sam Kusin, Claus Roehrborn and Jeffrey Gahan

Urology (Ridgewood, N.J.), Vol.170, pp.111-116

08/18/2022

DOI: 10.1016/j.urology.2022.07.044

PMID: 35988733

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Abstract

To report perioperative and postoperative outcomes in men who undergo salvage RASP (sRASP) following some other endoscopic outlet procedure for benign prostate enlargement (BPE) compared to those undergoing RASP for primary treatment (pRASP). A prospectively maintained database consisting of all RASP surgeries (December 2014 – October 2019) performed at our institution by three different urologists was used. Patients who had received an endoscopic procedure for BPE prior to their RASP (sRASP) were compared to those who had not had a prior outlet procedure (pRASP). In total, 310 men underwent RASP during the study period. Of those, 30 (9.7%) had undergone an endoscopic procedure prior to surgery. There were no significant differences in age, race, ASA, BMI, prostate volume, PSA or rates of preoperative retention (p>0.05 for all). Men who were treatment-naive had significantly higher preoperative International Prostate Symptom Scores (IPSS) than men who had a prior procedure (18.3 ±7.7 vs. 13.6 ±6.2, p=0.008). However, there were no significant differences in functional or quality of life outcomes between the two groups (p>0.05 for all). There were no significant differences in perioperative or post-operative outcomes between the two groups. Furthermore, rates of post-operative complications and incontinence were similar between groups (11% vs. 10%, p=0.9 and 2% vs. 0%, p=1 respectively). Performing a RASP after prior endoscopic procedure for BPE was found to be safe and effective. Success and complication rates were similar to patients with no prior procedures.

benign prostatic hyperplasia

lower urinary tract symptoms

robotic surgery

simple prostatectomy

Details

Title: Subtitle: Evaluating Surgical Outcomes of Robot Assisted Simple Prostatectomy in the Retreatment Setting
Creators: Alaina Garbens - The University of Texas Southwestern Medical Center
Hal Kominsky - The University of Texas Southwestern Medical Center
Jessica Dai - The University of Texas Southwestern Medical Center
Ryan L. Steinberg - University of Iowa, Department of Urology, Iowa City, Iowa, USA
Hersh Trivedi - The University of Texas Southwestern Medical Center
Sam Kusin - The University of Texas Southwestern Medical Center
Claus Roehrborn - The University of Texas Southwestern Medical Center
Jeffrey Gahan - The University of Texas Southwestern Medical Center
Resource Type: Journal article
Publication Details: Urology (Ridgewood, N.J.), Vol.170, pp.111-116
Publisher: Elsevier Inc
DOI: 10.1016/j.urology.2022.07.044
PMID: 35988733
ISSN: 0090-4295
eISSN: 1527-9995
Grant note: DOI: 10.13039/100010487, name: UT Southwestern Medical Center TIBIR
Language: English
Date published: 08/18/2022
Academic Unit: Urology
Record Identifier: 9984321437202771

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