Outcome of Robotic Assisted Laparoscopic Radical Prostatectomy after 112 Consecutive Cases
Keywords:
radical prostatectomy, prostate cancer, robotic prostatectomy, impotency, incontinenceAbstract
Introduction: Robotic Assisted Laparoscopic Radical Prostatectomy (RALRP) has been shown to provide the best surgical outcomes in terms of potency and continence, following surgical treatment for early prostate cancer. So far, there was no report in functional outcome in Thailand.
Objective: To evaluate functional outcome of Robotic Assisted Laparoscopic Radical Prostatectomy done at the authorûs institute.
Materials and methods: 112 patients with localized prostate cancer were undergone Robotic Assisted Laparoscopic Radical Prostatectomy by the author, using either transperitoneal approach or extraperitoneal approach. Functional and pathological outcome were evaluated.
Results: All of 112 cases were successfully undergone RALRP. Mean operative time was 166 minutes. The average blood loss was 488 mls. Mean catheterization time and hospital stay were 8.7 days and 7.3 days, respectively. At 12 months after surgery, full control (Pad Free) of continence was found in 88.3% of patients; and successful sexual intercourse was reported by 87.5% in patients with Sexual Health Inventory for Men (SHIM) score of more than 19 prior to having undergone the surgery.
Conclusion: In the authorûs experience, RALRP provides good functional outcomes. The operation should be encouraged among urologists, as the patients can gain benefit from good quality of life and oncological control.
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