Does a history of previous surgery or radiation to the prostate affect outcomes of robot-assisted radical prostatectomy?

Aaron D. Martin, Premal J. Desai, Rafael N. Nunez, George L. Martin, Paul E. Andrews, Robert G. Ferrigni, Scott K. Swanson, Anna Pacelli, Erik P Castle

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

OBJECTIVE To evaluate retrospectively whether or not previous treatment to the prostate alters the perioperative outcomes from robot-assisted radical prostatectomy (RARP) after the initial 'learning curve', as there are conflicting data on outcomes of RP in patients with previous treatment to the prostate. PATIENTS AND METHODS We retrospectively reviewed the charts of patients who had RARP between March 2005 and August 2007, and analysed demographic, perioperative variables and pathological data. In all, 510 patient charts were reviewed, identifying 24 patients with a history of previous treatment to the prostate including transurethral resection or incision of the prostate, transurethral microwave therapy, transurethral needle ablation, photoselective vaporization, simple prostatectomy, external beam radiotherapy, brachytherapy, and open bladder neck reconstruction (group 1) and 486 with no previous treatment (group 2). RESULTS There was no significant difference between the groups in body mass index, clinical stage, grade or prostate volume, but the patients in group 1 were older (70 vs 65 years, P = 0.001). Outcome analysis comparing groups 1 and 2 showed an estimated blood loss of 155 vs 137 mL, length of hospital stay of 2.2 vs 1.5 days, operative duration of 200 vs 186 min and catheter time of 12 vs 8 days, respectively; only the last was statistically significant (P = 0.03). There was an 8.3% and 6.8% complication rate in groups 1 and 2, respectively, and the respective overall positive margin rate was 20.8% and 22.6%. CONCLUSIONS A history of previous treatment of the prostate does not appear to compromise the perioperative outcomes of RARP.

Original languageEnglish (US)
Pages (from-to)1696-1698
Number of pages3
JournalBJU International
Volume103
Issue number12
DOIs
StatePublished - Jun 2009
Externally publishedYes

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Prostatectomy
Prostate
Radiation
Length of Stay
Therapeutics
Transurethral Resection of Prostate
Volatilization
Learning Curve
Brachytherapy
Microwaves
Needles
Urinary Bladder
Body Mass Index
Radiotherapy
Catheters
Demography

Keywords

  • Laparoscopy
  • Prostate
  • Prostatic neoplasms
  • Transurethral resection of prostate

ASJC Scopus subject areas

  • Urology

Cite this

Does a history of previous surgery or radiation to the prostate affect outcomes of robot-assisted radical prostatectomy? / Martin, Aaron D.; Desai, Premal J.; Nunez, Rafael N.; Martin, George L.; Andrews, Paul E.; Ferrigni, Robert G.; Swanson, Scott K.; Pacelli, Anna; Castle, Erik P.

In: BJU International, Vol. 103, No. 12, 06.2009, p. 1696-1698.

Research output: Contribution to journalArticle

Martin, AD, Desai, PJ, Nunez, RN, Martin, GL, Andrews, PE, Ferrigni, RG, Swanson, SK, Pacelli, A & Castle, EP 2009, 'Does a history of previous surgery or radiation to the prostate affect outcomes of robot-assisted radical prostatectomy?', BJU International, vol. 103, no. 12, pp. 1696-1698. https://doi.org/10.1111/j.1464-410X.2008.08276.x
Martin, Aaron D. ; Desai, Premal J. ; Nunez, Rafael N. ; Martin, George L. ; Andrews, Paul E. ; Ferrigni, Robert G. ; Swanson, Scott K. ; Pacelli, Anna ; Castle, Erik P. / Does a history of previous surgery or radiation to the prostate affect outcomes of robot-assisted radical prostatectomy?. In: BJU International. 2009 ; Vol. 103, No. 12. pp. 1696-1698.
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AU - Martin, Aaron D.

AU - Desai, Premal J.

AU - Nunez, Rafael N.

AU - Martin, George L.

AU - Andrews, Paul E.

AU - Ferrigni, Robert G.

AU - Swanson, Scott K.

AU - Pacelli, Anna

AU - Castle, Erik P

PY - 2009/6

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N2 - OBJECTIVE To evaluate retrospectively whether or not previous treatment to the prostate alters the perioperative outcomes from robot-assisted radical prostatectomy (RARP) after the initial 'learning curve', as there are conflicting data on outcomes of RP in patients with previous treatment to the prostate. PATIENTS AND METHODS We retrospectively reviewed the charts of patients who had RARP between March 2005 and August 2007, and analysed demographic, perioperative variables and pathological data. In all, 510 patient charts were reviewed, identifying 24 patients with a history of previous treatment to the prostate including transurethral resection or incision of the prostate, transurethral microwave therapy, transurethral needle ablation, photoselective vaporization, simple prostatectomy, external beam radiotherapy, brachytherapy, and open bladder neck reconstruction (group 1) and 486 with no previous treatment (group 2). RESULTS There was no significant difference between the groups in body mass index, clinical stage, grade or prostate volume, but the patients in group 1 were older (70 vs 65 years, P = 0.001). Outcome analysis comparing groups 1 and 2 showed an estimated blood loss of 155 vs 137 mL, length of hospital stay of 2.2 vs 1.5 days, operative duration of 200 vs 186 min and catheter time of 12 vs 8 days, respectively; only the last was statistically significant (P = 0.03). There was an 8.3% and 6.8% complication rate in groups 1 and 2, respectively, and the respective overall positive margin rate was 20.8% and 22.6%. CONCLUSIONS A history of previous treatment of the prostate does not appear to compromise the perioperative outcomes of RARP.

AB - OBJECTIVE To evaluate retrospectively whether or not previous treatment to the prostate alters the perioperative outcomes from robot-assisted radical prostatectomy (RARP) after the initial 'learning curve', as there are conflicting data on outcomes of RP in patients with previous treatment to the prostate. PATIENTS AND METHODS We retrospectively reviewed the charts of patients who had RARP between March 2005 and August 2007, and analysed demographic, perioperative variables and pathological data. In all, 510 patient charts were reviewed, identifying 24 patients with a history of previous treatment to the prostate including transurethral resection or incision of the prostate, transurethral microwave therapy, transurethral needle ablation, photoselective vaporization, simple prostatectomy, external beam radiotherapy, brachytherapy, and open bladder neck reconstruction (group 1) and 486 with no previous treatment (group 2). RESULTS There was no significant difference between the groups in body mass index, clinical stage, grade or prostate volume, but the patients in group 1 were older (70 vs 65 years, P = 0.001). Outcome analysis comparing groups 1 and 2 showed an estimated blood loss of 155 vs 137 mL, length of hospital stay of 2.2 vs 1.5 days, operative duration of 200 vs 186 min and catheter time of 12 vs 8 days, respectively; only the last was statistically significant (P = 0.03). There was an 8.3% and 6.8% complication rate in groups 1 and 2, respectively, and the respective overall positive margin rate was 20.8% and 22.6%. CONCLUSIONS A history of previous treatment of the prostate does not appear to compromise the perioperative outcomes of RARP.

KW - Laparoscopy

KW - Prostate

KW - Prostatic neoplasms

KW - Transurethral resection of prostate

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