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Urethra-Sparing Robot-Assisted Simple Prostatectomy for Postoperative Antegrade Ejaculation

Background: We report a comparative analysis of extraperitoneal urethra-sparing robot-assisted simple prostatectomy (EUS-RASP) versus robot-assisted simple prostatectomy (RASP) using the Freyer approach for patients with a large prostate volume greater than 80 mL. Methods: A total of 32 patients und...

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Autores principales: Choi, Sae Woong, Sohn, Dong Wan, Ha, U-Syn, Hong, Sung-Hoo, Lee, Ji Youl, Cho, Hyuk Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381243/
https://www.ncbi.nlm.nih.gov/pubmed/37510981
http://dx.doi.org/10.3390/jcm12144867
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author Choi, Sae Woong
Sohn, Dong Wan
Ha, U-Syn
Hong, Sung-Hoo
Lee, Ji Youl
Cho, Hyuk Jin
author_facet Choi, Sae Woong
Sohn, Dong Wan
Ha, U-Syn
Hong, Sung-Hoo
Lee, Ji Youl
Cho, Hyuk Jin
author_sort Choi, Sae Woong
collection PubMed
description Background: We report a comparative analysis of extraperitoneal urethra-sparing robot-assisted simple prostatectomy (EUS-RASP) versus robot-assisted simple prostatectomy (RASP) using the Freyer approach for patients with a large prostate volume greater than 80 mL. Methods: A total of 32 patients underwent EUS-RASP, and 30 underwent RASP from April 2018 to November 2021. All the perioperative data and 6-month follow-up data were collected prospectively. We retrospectively evaluated baseline characteristics and functional outcomes, including International Prostate Symptom Scores (IPSSs) and quality of life (QOL), maximum flow rate, and post-void residual volume, between the two groups. Sexual function was analyzed in the EUS-RASP group. Results: The patients undergoing EUS-RASP and RASP had comparable baseline characteristics and functional outcomes. The EUS-RASP group showed a shorter operative time (123.4 ± 15.2 min vs. 133.7 ± 21.4 min, p = 0.034), length of hospital stay (2.9 ± 1.5 days vs. 4.6 ± 1.5 days, p = 0.001), and catheterization time (2.4 ± 1.7 days vs. 8.1 ± 2.4 days, p < 0.001). A total of 14/32 (43.8%) patients reported normal preoperative ejaculatory function in the EUS-RASP group, and 11/14 (78.6%) maintained antegrade ejaculation postoperatively. Conclusions: Extraperitoneal urethra-sparing RASP is an effective and feasible procedure that can improve voiding function and allow for the maintenance of ejaculatory function in patients with large prostates.
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spelling pubmed-103812432023-07-29 Urethra-Sparing Robot-Assisted Simple Prostatectomy for Postoperative Antegrade Ejaculation Choi, Sae Woong Sohn, Dong Wan Ha, U-Syn Hong, Sung-Hoo Lee, Ji Youl Cho, Hyuk Jin J Clin Med Article Background: We report a comparative analysis of extraperitoneal urethra-sparing robot-assisted simple prostatectomy (EUS-RASP) versus robot-assisted simple prostatectomy (RASP) using the Freyer approach for patients with a large prostate volume greater than 80 mL. Methods: A total of 32 patients underwent EUS-RASP, and 30 underwent RASP from April 2018 to November 2021. All the perioperative data and 6-month follow-up data were collected prospectively. We retrospectively evaluated baseline characteristics and functional outcomes, including International Prostate Symptom Scores (IPSSs) and quality of life (QOL), maximum flow rate, and post-void residual volume, between the two groups. Sexual function was analyzed in the EUS-RASP group. Results: The patients undergoing EUS-RASP and RASP had comparable baseline characteristics and functional outcomes. The EUS-RASP group showed a shorter operative time (123.4 ± 15.2 min vs. 133.7 ± 21.4 min, p = 0.034), length of hospital stay (2.9 ± 1.5 days vs. 4.6 ± 1.5 days, p = 0.001), and catheterization time (2.4 ± 1.7 days vs. 8.1 ± 2.4 days, p < 0.001). A total of 14/32 (43.8%) patients reported normal preoperative ejaculatory function in the EUS-RASP group, and 11/14 (78.6%) maintained antegrade ejaculation postoperatively. Conclusions: Extraperitoneal urethra-sparing RASP is an effective and feasible procedure that can improve voiding function and allow for the maintenance of ejaculatory function in patients with large prostates. MDPI 2023-07-24 /pmc/articles/PMC10381243/ /pubmed/37510981 http://dx.doi.org/10.3390/jcm12144867 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Choi, Sae Woong
Sohn, Dong Wan
Ha, U-Syn
Hong, Sung-Hoo
Lee, Ji Youl
Cho, Hyuk Jin
Urethra-Sparing Robot-Assisted Simple Prostatectomy for Postoperative Antegrade Ejaculation
title Urethra-Sparing Robot-Assisted Simple Prostatectomy for Postoperative Antegrade Ejaculation
title_full Urethra-Sparing Robot-Assisted Simple Prostatectomy for Postoperative Antegrade Ejaculation
title_fullStr Urethra-Sparing Robot-Assisted Simple Prostatectomy for Postoperative Antegrade Ejaculation
title_full_unstemmed Urethra-Sparing Robot-Assisted Simple Prostatectomy for Postoperative Antegrade Ejaculation
title_short Urethra-Sparing Robot-Assisted Simple Prostatectomy for Postoperative Antegrade Ejaculation
title_sort urethra-sparing robot-assisted simple prostatectomy for postoperative antegrade ejaculation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381243/
https://www.ncbi.nlm.nih.gov/pubmed/37510981
http://dx.doi.org/10.3390/jcm12144867
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