MP3-05 MULTI-INSTITUTIONAL RETROSPECTIVE REVIEW OF ROBOT-ASSISTED LAPAROSCOPIC SIMPLE PROSTATECTOMY

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology I1 Apr 2015MP3-05 MULTI-INSTITUTIONAL RETROSPECTIVE REVIEW OF ROBOT-ASSISTED LAPAROSCOPIC SIMPLE PROSTATECTOMY Andrew Harbin, Jeff Villanueva, Benjamin Katz, Vineet Agrawal, Guan Wu, Hani Rashid, Jean Joseph, Jonathan Hwang, David Lee, and Daniel Eun Andrew HarbinAndrew Harbin More articles by this author , Jeff VillanuevaJeff Villanueva More articles by this author , Benjamin KatzBenjamin Katz More articles by this author , Vineet AgrawalVineet Agrawal More articles by this author , Guan WuGuan Wu More articles by this author , Hani RashidHani Rashid More articles by this author , Jean JosephJean Joseph More articles by this author , Jonathan HwangJonathan Hwang More articles by this author , David LeeDavid Lee More articles by this author , and Daniel EunDaniel Eun More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.108AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The surgical management of benign prostatic hyperplasia (BPH) for large glands (> 70 gm) has been somewhat limited in the past. Open simple prostatectomy (OSP) is an effective treatment, but it may be associated with long hospital stay, excessive blood loss and transfusion risk, as well as increased incisional pain. The recent implementation of Robot-Assisted Laparoscopic Simple Prostatectomy (RALSP) has offered a potential solution to these pitfalls. We present a large multi-institutional review of our experience with RALSP. METHODS After proper institutional review board approval, a chart review was performed at 4 institutions. Procedures were performed either by retropubic, suprapubic, or posterior-transvesical approach. Perioperative and demographic data were reviewed. RESULTS We performed 96 RALSP at 4 institutions between August 2008 and October 2014. Demographic and perioperative data can be found in Table 1. The mean patient age was 71 and mean BMI was 26.2. Preoperative prostate specific antigen was 7.5 ng/mL and preoperative post void residual (PVR) was 421.4 mL. Mean operative time was 210 min; estimated blood loss was 208mL, length of stay was 2.2 days, and post-operative PVR was 47.1 (p = 0.0001). There was no significant change between preoperative and postoperative SHIM score. Mean prostate volume removed was 93.3gm. Prostate cancer was diagnosed incidentally in 12 patients, and all were low or intermediate grade. Three patients underwent blood transfusion. There were no other intraoperative complications and there were 12 postoperative complications, all Clavien ≤ 2. Median follow up was 4 months. CONCLUSIONS We present our initial experience with RALSP. The procedure is safe and effective, may have improved length of stay and lower transfusion requirements, and does not appear to affect erectile function. Future studies should compare RALSP to other surgical options for large gland BPH. Table 1. Demographic and Perioperative Data of Patients Undergoing RALSP (n = 96) Preoperative Postoperative p value AUA - SS 19.6 3.8 <0.0001 SHIM 12 11.5 0.29 Hemoglobin (g/dl) 13.5 12.3 <0.0001 Post Void Residual (mL) 421.4 47.1 0.0001 Mean Standard Dev Age 71.3 7.2 Preoperative PSA (ng/mL) 7.5 6.2 Estimated Blood Loss (mL) 208 167 Operative Time (minutes) 210.8 46.1 Length of Stay (days) 2.2 4.3 Pathologic Weight (gm) 93.3 43.6 AUA-SS – AUA Symptom Score; SHIM – Sexual Health Inventory in Men; PSA – Prostate Specific Antigen © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e20-e21 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Andrew Harbin More articles by this author Jeff Villanueva More articles by this author Benjamin Katz More articles by this author Vineet Agrawal More articles by this author Guan Wu More articles by this author Hani Rashid More articles by this author Jean Joseph More articles by this author Jonathan Hwang More articles by this author David Lee More articles by this author Daniel Eun More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...