scholarly journals PD56-07 CAN FOCAL THERAPY IMPACT ON PERIOPERATIVE, ONCOLOGICAL AND FUNCTION OUTCOMES IN MEN UNDERWENT FOCAL THERAPY SALVAGE ROBOTIC-ASSISTED RADICAL PROSTATECTOMY? A RETROSPECTIVE MATCHED-PAIR COMPARATIVE STUDY

2017 ◽  
Vol 197 (4S) ◽  
Author(s):  
Igor Nunes-Silva ◽  
Eric Barret ◽  
Victor Srougi ◽  
Mohammed Baghdadi ◽  
Silvia Garcia-Barreras ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Comparative Study ◽  
Focal Therapy ◽  
Matched Pair ◽  
Robotic Assisted ◽  
Robotic Assisted Radical Prostatectomy ◽  
And Function

Can focal therapy impact perioperative, oncological, and functional outcomes in men who underwent focal therapy salvage robotic-assisted radical prostatectomy? A retrospective matched-pair comparative study.

2017 ◽  
Vol 35 (6_suppl) ◽  
pp. 76-76
Author(s):  
Igor Nunes-Silva ◽  
Eric Barret ◽  
Victor Srougi ◽  
Mohammed Baghdadi ◽  
Silvia Garcia Barreras ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Functional Outcomes ◽  
Salvage Surgery ◽  
Focal Therapy ◽  
Matched Pair ◽  
Complication Rates ◽  
Robotic Assisted ◽  
Increased Risk ◽  
Robotic Assisted Radical Prostatectomy ◽  
The Impact

76 Background: Salvage surgery is an option for recurrent prostate cancer(PCa) after focal therapy(FT). This is the first study to assess the impact of FT on surgical outcomes comparing salvage robotic-assisted radical prostatectomy(S-RARP) versus primary-RARP(P-RARP). We aimed to compare the impact of FT on perioperative, oncological and functional outcomes in men underwent S-RARP versus P-RARP. Methods: Prospective data of 2775 men underwent RARP for localized PCa from 2000 to 2016 were reviewed. Twenty-five men underwent S-RARP after FT failure(S-RARP group). Total 2750 underwent RARP as primary treatment. Matched-pair 1:2 selection of 44 out of 2750 patients by age, IPSS and IIEF5 defined P-RARP group. Primary endpoint was between-groups differences on functional outcomes. Secondary endpoint was oncological data. p < 0.05 was significant. Results: Surgical time, transfusion and complication rates were comparable(p > 0.05). Rates of continence probability[49.5%(SE 0.13) versus 62.4%(SE 0.08), p = 0.8 and 73%(SE 0.14) versus 76.5%(SE 0.07), p = 0.8, at 1 and 2 years, respectively] and the chance for achieving continence[HR 1.062, 95%CI 0.54-2.08, p = 0.861] were comparable between-groups. Potency recovery was significant lower on S-RARP[3±2 versus 9.22±6.55, p = 0.008]. S-RARP showed significant lower rates of cumulative BCR-free survival probability[67.6%(SE 0.12) versus 95.1%(SE 0.03), p = 0.001 and 56.3%(SE 0.15) versus 92.4%(SE 0.04), p = 0.001, at 1 and 2 years, respectively]. S-RARP presented significant increased risk of BCR[HR 4.8, 95%CI 1.67-13.76, p = 0.004]. Upstaging was an independent predictor factor for BCR on S-RARP[HR 14.65, 95%CI 1.46-146.37, p = 0.022] (Table 1). Conclusions: Salvage-RARP following FT failure is feasible and safe with acceptable complications rates. Patients assigned to FT should be previously advised about lower erectile recovery rates in case of a salvage surgery. Urologists may be warned about the risk of undertreatment in patients presenting failure along FT follow-up.

scholarly journals A comparative study of laparoscopic and robotic assisted radical prostatectomy performed by a single surgeon

2017 ◽  
Vol 28 (2) ◽  
pp. 71-74
Author(s):  
Chin Chan ◽  
Allen W. Chiu ◽  
Marcelo Chen ◽  
Jong-Ming Hsu ◽  
Stone Yang ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Comparative Study ◽  
Robotic Assisted ◽  
Robotic Assisted Radical Prostatectomy

DO VERY LARGE PROSTATES OVER 100GM ADVERSELY AFFECT OUTCOME FOLLOWING ROBOTIC ASSISTED RADICAL PROSTATECTOMY (RARP)? - A COMPARATIVE STUDY

2009 ◽  
Vol 181 (4S) ◽  
pp. 456-456
Author(s):  
Ramgopal K Satyanarayana ◽  
Naveen Pokala ◽  
Akshay M Bhandari ◽  
James O Peabody ◽  
Mani Menon
Keyword(s):  
Radical Prostatectomy ◽  
Comparative Study ◽  
Robotic Assisted ◽  
Robotic Assisted Radical Prostatectomy

scholarly journals MP78-12 ROBOTIC ASSISTED RADICAL PROSTATECTOMY AFTER FOCAL THERAPY: ONCOLOGICAL AND FUNCTIONAL OUTCOMES

2019 ◽  
Vol 201 (Supplement 4) ◽  
Author(s):  
Lorenzo Marconi* ◽  
Thomas Stonier ◽  
Rafael Tourinho-Barbosa ◽  
Caroline Moore ◽  
Hashim U. Ahmed ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Functional Outcomes ◽  
Focal Therapy ◽  
Robotic Assisted ◽  
Robotic Assisted Radical Prostatectomy

Robotic assisted radical prostatectomy after focal therapy: Oncological and functional outcomes

2019 ◽  
Vol 18 (1) ◽  
pp. e1047
Author(s):  
L. Serra De Oliveira Marconi ◽  
T. Stonier ◽  
N. De Luyk ◽  
R. Tourinho-Barbosac ◽  
C. Moore ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Functional Outcomes ◽  
Focal Therapy ◽  
Robotic Assisted ◽  
Robotic Assisted Radical Prostatectomy

Effect of Prior Focal Therapy on Perioperative, Oncologic and Functional Outcomes of Salvage Robotic Assisted Radical Prostatectomy

2017 ◽  
Vol 198 (5) ◽  
pp. 1069-1076 ◽  
Author(s):  
Igor Nunes-Silva ◽  
Eric Barret ◽  
Victor Srougi ◽  
Mohammed Baghdadi ◽  
Paolo Capogrosso ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Functional Outcomes ◽  
Focal Therapy ◽  
Robotic Assisted ◽  
Robotic Assisted Radical Prostatectomy
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