Nerve Sparing Robot-Assisted Radical Prostatectomy: Assessment of Clinical and Technical Factors Impacting Recovery of Sexual Function

2018 ◽  
pp. 275-287
Author(s):  
Kamaljot S. Kaler ◽  
Simone Vernez ◽  
Douglas Skarecky ◽  
Thomas E. Ahlering
Keyword(s):  
Radical Prostatectomy ◽  
Sexual Function ◽  
Nerve Sparing ◽  
Robot Assisted ◽  
Technical Factors

Single Institution 2-Year Patient Reported Validated Sexual Function Outcomes After Nerve Sparing Robot Assisted Radical Prostatectomy

2009 ◽  
Vol 181 (1) ◽  
pp. 259-263 ◽  
Author(s):  
Esequiel Rodriguez ◽  
David S. Finley ◽  
Douglas Skarecky ◽  
Thomas E. Ahlering
Keyword(s):  
Radical Prostatectomy ◽  
Sexual Function ◽  
Nerve Sparing ◽  
Single Institution ◽  
Robot Assisted ◽  
Patient Reported

The applicability of patient-Specific 3D models in the planning of nerve-sparing robot-assisted radical prostatectomy

2021 ◽  
Vol 79 ◽  
pp. S1556-S1557
Author(s):  
H. Veerman ◽  
T.N. Boellaard ◽  
C. Hoeks ◽  
J.A. Van Eick ◽  
J. Sluijter ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
3D Models ◽  
Patient Specific ◽  
Nerve Sparing ◽  
Robot Assisted

scholarly journals Prediction of a positive surgical margin and biochemical recurrence after robot-assisted radical prostatectomy

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ching-Wei Yang ◽  
Hsiao-Hsien Wang ◽  
Mohamed Fayez Hassouna ◽  
Manish Chand ◽  
William J. S. Huang ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Biochemical Recurrence ◽  
Multivariable Analysis ◽  
Specific Antigen ◽  
Surgical Margin ◽  
Asian Population ◽  
Nerve Sparing ◽  
Positive Surgical Margin ◽  
Robot Assisted ◽  
Surgeon Experience

AbstractThe positive surgical margin (PSM) and biochemical recurrence (BCR) are two main factors associated with poor oncotherapeutic outcomes after prostatectomy. This is an Asian population study based on a single-surgeon experience to deeply investigate the predictors for PSM and BCR. We retrospectively included 419 robot-assisted radical prostatectomy cases. The number of PSM cases was 126 (30.1%), stratified as 22 (12.2%) in stage T2 and 103 (43.6%) in stage T3. Preoperative prostate-specific antigen (PSA) > 10 ng/mL (p = 0.047; odds ratio [OR] 1.712), intraoperative blood loss > 200 mL (p = 0.006; OR 4.01), and postoperative pT3 stage (p < 0.001; OR 6.901) were three independent predictors for PSM while PSA > 10 ng/mL (p < 0.015; hazard ratio [HR] 1.8), pT3 stage (p = 0.012; HR 2.264), International Society of Urological Pathology (ISUP) grade > 3 (p = 0.02; HR 1.964), and PSM (p = 0.027; HR 1.725) were four significant predictors for BCR in multivariable analysis. PSMs occurred mostly in the posterolateral regions (73.8%) which were associated with nerve-sparing procedures (p = 0.012) while apical PSMs were correlated intraoperative bleeding (p < 0.001). A high ratio of pT3 stage after RARP in our Asian population-based might surpass the influence of PSM on BCR. PSM was less significant than PSA and ISUP grade for predicting PSA recurrence in pT3 disease. Among PSM cases, unifocal and multifocal positive margins had a similar ratio of the BCR rate (p = 0.172) but ISUP grade > 3 (p = 0.002; HR 2.689) was a significant BCR predictor. These results indicate that PSA and pathological status are key factors influencing PSM and BCR.

Nerve-sparing Techniques for Laparoscopic and Robot-assisted Radical Prostatectomy

2008 ◽  
pp. 65-79 ◽  
Author(s):  
K.K. Shah ◽  
M.F. Chammas ◽  
K.J. Palmer ◽  
R. Thaly ◽  
V.R. Patel
Keyword(s):  
Radical Prostatectomy ◽  
Nerve Sparing ◽  
Robot Assisted

Comprehensive Analysis of Sexual Function Outcome in Prostate Cancer Patients After Robot-Assisted Radical Prostatectomy

2014 ◽  
Vol 28 (2) ◽  
pp. 172-177 ◽  
Author(s):  
Seung Hyo Woo ◽  
Dong Il Kang ◽  
Yun-Sok Ha ◽  
Amirali Hassanzadeh Salmasi ◽  
Jeong Hyun Kim ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
Sexual Function ◽  
Cancer Patients ◽  
Comprehensive Analysis ◽  
Robot Assisted
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