Robot-Assisted Radical Prostatectomy in Patients with Enlarged Median Lobe: Matched Analysis
Objective: Evaluation of surgical, oncological and functional results in patients with prostate cancer and enlarged median lobe who underwent robot- assisted radical prostatectomy (RARP). Materials and Methods: Medical records of 489 patients who underwent RARP between August 2009 and December 20...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ekrem Güner
2022-05-01
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| Series: | Grand Journal of Urology |
| Subjects: | |
| Online Access: | https://grandjournalofurology.com/uploads/pdf/pdf_GJU_56.pdf |
| _version_ | 1797869339927379968 |
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| author | Taner Kargi Kamil Gokhan Seker Abdullah Hizir Yavuzsan Bugra Dogukan Torer Muhammed Yusuf Demir Deniz Noyan Ozlu Serdar Karadag Selcuk Sahin Volkan Tugcu Ali Ihsan Tasci |
| author_facet | Taner Kargi Kamil Gokhan Seker Abdullah Hizir Yavuzsan Bugra Dogukan Torer Muhammed Yusuf Demir Deniz Noyan Ozlu Serdar Karadag Selcuk Sahin Volkan Tugcu Ali Ihsan Tasci |
| author_sort | Taner Kargi |
| collection | DOAJ |
| description | Objective: Evaluation of surgical, oncological and functional results in patients with prostate cancer and enlarged median lobe who underwent robot- assisted radical prostatectomy (RARP).
Materials and Methods: Medical records of 489 patients who underwent RARP between August 2009 and December 2013 were retrospectively evaluated. Among them, 40 patients who had enlarged median lobe were included in Group 1. Forty patients without median lobe hyperplasia were included with matched analysis (Group 2). Patients who were followed up for 12 months were assessed.
Results: No significant differences were found between the two groups in terms of demographic values, erectile function, preoperative PSA levels, prostate dimensions, distribution of clinical stages, Gleason scores and D"Amico risk classification (p˃0,05). Perioperative data revealed that mean operative times were 219.9 ± 64.5 (130-360) min and 185.6 ± 57.1 (120-355) min in Groups 1 and 2, respectively which was significantly prolonged in Group 1 (p˂0.05). Bladder neck reconstruction was performed in Groups 1 (n=14: 5%) and 2 (n=1: 3%). Rates of full continence after removal of urethral catheter on day 7 and at the end of months 1, 3, 6 and 12 were similar in Groups 1 and 2 (p˃0.05). Rates of potency and biochemical recurrence were similar at the end of the postoperative 6 months and one year in Groups 1 and 2 (p˃0.05).
Conclusion: RARP in patients with prostate cancer with an enlarged median lobe is a challenging operation with significantly longer operative times. With its inherent procedural difficulties, RARP is a good treatment option in patients with prostate cancer and an enlarged median lobe with its successful surgical dissection and anastomosis possibilities. |
| first_indexed | 2024-04-10T00:11:09Z |
| format | Article |
| id | doaj.art-73cb1d6847164fa38720c04f263a0951 |
| institution | Directory Open Access Journal |
| issn | 2757-7163 |
| language | English |
| last_indexed | 2024-04-10T00:11:09Z |
| publishDate | 2022-05-01 |
| publisher | Ekrem Güner |
| record_format | Article |
| series | Grand Journal of Urology |
| spelling | doaj.art-73cb1d6847164fa38720c04f263a09512023-03-16T09:13:53ZengEkrem GünerGrand Journal of Urology2757-71632022-05-0122647110.5505/GJU.2022.68077Robot-Assisted Radical Prostatectomy in Patients with Enlarged Median Lobe: Matched AnalysisTaner Kargi0https://orcid.org/0000-0001-5874-3489Kamil Gokhan Seker1https://orcid.org/0000-0003-4449-9037Abdullah Hizir Yavuzsan2https://orcid.org/0000-0002-1561-895XBugra Dogukan Torer3https://orcid.org/0000-0003-1847-6798Muhammed Yusuf Demir4https://orcid.org/0000-0003-0927-3593Deniz Noyan Ozlu5https://orcid.org/0000-0003-2435-5482Serdar Karadag6https://orcid.org/0000-0002-1420-4536Selcuk Sahin7https://orcid.org/0000-0002-0903-320XVolkan Tugcu8https://orcid.org/0000-0002-4136-7584Ali Ihsan Tasci9https://orcid.org/0000-0002-6943-6676Department of Urology, University of Health Sciences, Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyDepartment of Urology, Liv Hospital Vadistanbul, Istanbul, TurkeyDepartment of Urology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, TurkeyDepartment of Urology, Reyhanlı State Hospital, Hatay, TurkeyDepartment of Urology, University of Health Sciences, Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyDepartment of Urology, University of Health Sciences, Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyDepartment of Urology, University of Health Sciences, Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyDepartment of Urology, University of Health Sciences, Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyDepartment of Urology, Liv Hospital Vadistanbul, Istanbul, TurkeyDepartment of Urology, University of Health Sciences, Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyObjective: Evaluation of surgical, oncological and functional results in patients with prostate cancer and enlarged median lobe who underwent robot- assisted radical prostatectomy (RARP). Materials and Methods: Medical records of 489 patients who underwent RARP between August 2009 and December 2013 were retrospectively evaluated. Among them, 40 patients who had enlarged median lobe were included in Group 1. Forty patients without median lobe hyperplasia were included with matched analysis (Group 2). Patients who were followed up for 12 months were assessed. Results: No significant differences were found between the two groups in terms of demographic values, erectile function, preoperative PSA levels, prostate dimensions, distribution of clinical stages, Gleason scores and D"Amico risk classification (p˃0,05). Perioperative data revealed that mean operative times were 219.9 ± 64.5 (130-360) min and 185.6 ± 57.1 (120-355) min in Groups 1 and 2, respectively which was significantly prolonged in Group 1 (p˂0.05). Bladder neck reconstruction was performed in Groups 1 (n=14: 5%) and 2 (n=1: 3%). Rates of full continence after removal of urethral catheter on day 7 and at the end of months 1, 3, 6 and 12 were similar in Groups 1 and 2 (p˃0.05). Rates of potency and biochemical recurrence were similar at the end of the postoperative 6 months and one year in Groups 1 and 2 (p˃0.05). Conclusion: RARP in patients with prostate cancer with an enlarged median lobe is a challenging operation with significantly longer operative times. With its inherent procedural difficulties, RARP is a good treatment option in patients with prostate cancer and an enlarged median lobe with its successful surgical dissection and anastomosis possibilities.https://grandjournalofurology.com/uploads/pdf/pdf_GJU_56.pdfmedian lobeprostate cancerrobot-assisted radical prostatectomy |
| spellingShingle | Taner Kargi Kamil Gokhan Seker Abdullah Hizir Yavuzsan Bugra Dogukan Torer Muhammed Yusuf Demir Deniz Noyan Ozlu Serdar Karadag Selcuk Sahin Volkan Tugcu Ali Ihsan Tasci Robot-Assisted Radical Prostatectomy in Patients with Enlarged Median Lobe: Matched Analysis Grand Journal of Urology median lobe prostate cancer robot-assisted radical prostatectomy |
| title | Robot-Assisted Radical Prostatectomy in Patients with Enlarged Median Lobe: Matched Analysis |
| title_full | Robot-Assisted Radical Prostatectomy in Patients with Enlarged Median Lobe: Matched Analysis |
| title_fullStr | Robot-Assisted Radical Prostatectomy in Patients with Enlarged Median Lobe: Matched Analysis |
| title_full_unstemmed | Robot-Assisted Radical Prostatectomy in Patients with Enlarged Median Lobe: Matched Analysis |
| title_short | Robot-Assisted Radical Prostatectomy in Patients with Enlarged Median Lobe: Matched Analysis |
| title_sort | robot assisted radical prostatectomy in patients with enlarged median lobe matched analysis |
| topic | median lobe prostate cancer robot-assisted radical prostatectomy |
| url | https://grandjournalofurology.com/uploads/pdf/pdf_GJU_56.pdf |
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