Outcome of Robotic Assisted Laparoscopic Radical Prostatectomy after 112 Consecutive Cases


  • Sittiporn Srinualnad Division of Urology, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand


radical prostatectomy, prostate cancer, robotic prostatectomy, impotency, incontinence


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.


Srinualnad S. Early Experience of Robotic Prostatectomy.

Srinualnad S. Robotic Prostatectomy in Early Prostate Cancer.

Srinualnad S. Minimally Invasive Surgery for Early Prostate Cancer. : National Cancer Conference, Sufficiency Phiosophy in Oncology: From Treatment to Prevention.

Menon M, Shrivastava A, Tewari A, Sarle R, Hemal A, Peabody JO, et al. Laparoscopic and robot assisted radical prostatectomy: establishment of a structured program and preliminary analysis of outcomes. J Urol 2002; 168(3): 945-9.

Menon M, Shrivastava A, Sarle R, Hemal A, Tewari A. Vattikuti Institute Prostatectomy: a single-team experience of 100 cases. J Endourol. 2003; 17(9): 785-90.

Ahlering TE, Eichel L, Edwards RA, Lee DI, Skarecky DW. Robotic radical prostatectomy: a technique to reduce pT2 positive margins. Urology 2004; 64(6): 1224-8.

Ahlering TE, Skarecky D, Borin J. Impact of cautery versus cautery-free preservation of neurovascular bundles on early return of potency. J Endourol. 2006; 20(8): 586-9.

Kaul S, Savera A, Badani K, Fumo M, Bhandari A, Menon M. Functional outcomes and oncological efficacy of Vattikuti Institute prostatectomy with Veil of Aphrodite nerve-sparing: an analysis of 154 consecutive patients. BJU Int. 2006; 97(3): 467-72.

Tewari AK, Rao SR. Anatomical foundations and surgical manoeuvres for precise identification of the prostatovesical junction during robotic radical prostatectomy. BJU Int. 2006; 98(4): 833-7.

Zorn KC, Gofrit ON, Orvieto MA, Mikhail AA, Zagaja GP, Shalhav AL. Robotic-assisted laparoscopic prostatectomy: functional and pathologic outcomes with interfascial nerve preservation.: Eur Urol. 2007; 51(3): 755-62.

Bhandari A, McIntire L, Kaul SA, Hemal AK, Peabody JO, Menon M. Perioperative complications of robotic radical prostatectomy after the learning curve. J Urol. 2005; 174(3): 915-8.

Srinualnad S. Robotic Assisted Laparoscopic Radical Prostatectomy without Proctorship: Early Experience of the First Series in Asia. Thai J Surg 2008; 29(1): 1-5.

Srinualnad S. Early Experience of Robotic Assisted Laparoscopic Radical Prostatectomy. J Med Assoc Thai 2008; 91(3): 377-82.

Srinualnad S. Extraperitoneal Robotic Assisted Laparoscopic Radical Prostatectomy: The New Approach for Early Prostate Cancer. Thai J Urol 2007; 28(1): 1-6.

Menon M, Shrivastava A, Kaul S, Badani KK, Fumo M, Bhandari M, et al. Vattikuti Institute prostatectomy: contemporary technique and analysis of results. Eur Urol. 2007; 51(3): 648-57.

Herrell SD, Smith JA, Jr. Robotic-assisted laparoscopic prostatectomy: what is the learning curve? Urology. 2005; 66(5 suppl.): 105-7.

Atug F, Castle EP, Srivastav SK, Burgess SV, Thomas R, Davis R. Positive surgical margins in robotic-assisted radical prostatec- tomy: impact of learning curve on oncologic outcomes. Eur Urol. 2006; 49(5): 866-71.




How to Cite

Srinualnad, S. (2009). Outcome of Robotic Assisted Laparoscopic Radical Prostatectomy after 112 Consecutive Cases. Insight Urology, 30(1), 1–5. Retrieved from https://he02.tci-thaijo.org/index.php/TJU/article/view/252482



Original article