Outcomes of robotic modified Freyer's prostatectomy in an Australian patient cohort
Abstract Introduction The study aims to demonstrate the feasibility, safety and efficacy of robotic simple prostatectomy (RSP) using the modified Freyer's approach in an Australian patient cohort. Although RSP is performed in several Australian centres, there is a paucity of published Australia...
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | BJUI Compass |
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| Online Access: | https://doi.org/10.1002/bco2.247 |
| _version_ | 1797663526581436416 |
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| author | Alfin Okullo Jeremy Saad Darius Ashrafi Nasser Bagheri Hodo Haxhimolla |
| author_facet | Alfin Okullo Jeremy Saad Darius Ashrafi Nasser Bagheri Hodo Haxhimolla |
| author_sort | Alfin Okullo |
| collection | DOAJ |
| description | Abstract Introduction The study aims to demonstrate the feasibility, safety and efficacy of robotic simple prostatectomy (RSP) using the modified Freyer's approach in an Australian patient cohort. Although RSP is performed in several Australian centres, there is a paucity of published Australian data. Methods We reviewed prospectively collected perioperative and outcomes data for patients who underwent a robotic modified Freyer's prostatectomy (RMFP) from June 2019 to March 2022. Statistics were completed using SPSS statistics v27.0 and reported as mean and range with a p value of <0.05 considered statistically significant. Results There were 27 patients who underwent RMFP over the study period with a mean age of 67 years and prostate volume of 159.74 cc (100–275). The mean console time was 168 min (122–211), blood loss of 233 ml (50–600) and average length of hospital stay of 3.8 days (3–8). The preoperative versus postoperative outcome means were as follows: serum prostate‐specific antigen was 9.69 versus 1.2 ng/mL, IPPS score was 17.1 versus 1.25, quality of life (QOL) score 3.4 versus 0.4, postvoid residual volume: 223.6 versus 55.9 ml, Q‐max 7.86 versus 29.6 ml/s. These were all statistically significant (p < 0.001). The mean weight of resected tissue was 74 g (43–206) with 25 patients having benign histopathology and two being diagnosed with prostate cancer (Gleason 3 + 3 = 6 and 3 + 4 = 7). No patients returned to theatre or required a blood transfusion. Conclusions Data from our patient cohort demonstrate the feasibility, safety and efficacy of RMFP for benign prostatic hyperplasia in an Australian patient cohort. Our outcomes compare favourably with published studies on RSP. |
| first_indexed | 2024-03-11T19:16:53Z |
| format | Article |
| id | doaj.art-322bf8879f644139bda82756a2278dcb |
| institution | Directory Open Access Journal |
| issn | 2688-4526 |
| language | English |
| last_indexed | 2024-03-11T19:16:53Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | BJUI Compass |
| spelling | doaj.art-322bf8879f644139bda82756a2278dcb2023-10-09T01:20:53ZengWileyBJUI Compass2688-45262023-11-014672973710.1002/bco2.247Outcomes of robotic modified Freyer's prostatectomy in an Australian patient cohortAlfin Okullo0Jeremy Saad1Darius Ashrafi2Nasser Bagheri3Hodo Haxhimolla4The Canberra Hospital Canberra Australian Capital Territory AustraliaThe Canberra Hospital Canberra Australian Capital Territory AustraliaThe Canberra Hospital Canberra Australian Capital Territory AustraliaThe Australian National University Canberra Australian Capital Territory AustraliaThe Canberra Hospital Canberra Australian Capital Territory AustraliaAbstract Introduction The study aims to demonstrate the feasibility, safety and efficacy of robotic simple prostatectomy (RSP) using the modified Freyer's approach in an Australian patient cohort. Although RSP is performed in several Australian centres, there is a paucity of published Australian data. Methods We reviewed prospectively collected perioperative and outcomes data for patients who underwent a robotic modified Freyer's prostatectomy (RMFP) from June 2019 to March 2022. Statistics were completed using SPSS statistics v27.0 and reported as mean and range with a p value of <0.05 considered statistically significant. Results There were 27 patients who underwent RMFP over the study period with a mean age of 67 years and prostate volume of 159.74 cc (100–275). The mean console time was 168 min (122–211), blood loss of 233 ml (50–600) and average length of hospital stay of 3.8 days (3–8). The preoperative versus postoperative outcome means were as follows: serum prostate‐specific antigen was 9.69 versus 1.2 ng/mL, IPPS score was 17.1 versus 1.25, quality of life (QOL) score 3.4 versus 0.4, postvoid residual volume: 223.6 versus 55.9 ml, Q‐max 7.86 versus 29.6 ml/s. These were all statistically significant (p < 0.001). The mean weight of resected tissue was 74 g (43–206) with 25 patients having benign histopathology and two being diagnosed with prostate cancer (Gleason 3 + 3 = 6 and 3 + 4 = 7). No patients returned to theatre or required a blood transfusion. Conclusions Data from our patient cohort demonstrate the feasibility, safety and efficacy of RMFP for benign prostatic hyperplasia in an Australian patient cohort. Our outcomes compare favourably with published studies on RSP.https://doi.org/10.1002/bco2.247bladder outlet obstructionlower urinary tract symptomsMillen's prostatectomyretropubic prostatectomyrobot assisted |
| spellingShingle | Alfin Okullo Jeremy Saad Darius Ashrafi Nasser Bagheri Hodo Haxhimolla Outcomes of robotic modified Freyer's prostatectomy in an Australian patient cohort BJUI Compass bladder outlet obstruction lower urinary tract symptoms Millen's prostatectomy retropubic prostatectomy robot assisted |
| title | Outcomes of robotic modified Freyer's prostatectomy in an Australian patient cohort |
| title_full | Outcomes of robotic modified Freyer's prostatectomy in an Australian patient cohort |
| title_fullStr | Outcomes of robotic modified Freyer's prostatectomy in an Australian patient cohort |
| title_full_unstemmed | Outcomes of robotic modified Freyer's prostatectomy in an Australian patient cohort |
| title_short | Outcomes of robotic modified Freyer's prostatectomy in an Australian patient cohort |
| title_sort | outcomes of robotic modified freyer s prostatectomy in an australian patient cohort |
| topic | bladder outlet obstruction lower urinary tract symptoms Millen's prostatectomy retropubic prostatectomy robot assisted |
| url | https://doi.org/10.1002/bco2.247 |
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