The effect of prostate weight on the outcomes of laparoscopic radical prostatectomy.

Abstract:

OBJECTIVE:To evaluate the effect of prostate weight on perioperative, functional and oncological outcomes after laparoscopic radical prostatectomy (LRP). PATIENTS AND METHODS:Between January 2003 and January 2006, 327 patients had LRP by one surgeon, 193 of whom were available for analysis. Patients were stratified into three groups on the basis of pathological prostate weight, i.e. or=75 g. Perioperative, oncological and functional (continence and potency at 1 year) outcomes were compared among the three groups. RESULTS:Of the 193 patients the prostate was or=75 g in 44 (23%); the mean prostate weight was 27, 49 and 98 g in the three subgroups, respectively. At presentation, 144 patients (75%) had T1c disease, 159 (82%) were potent and 187 (97%) were continent. Unilateral nerve-sparing was done in 37 (19%) and bilateral in 114 (59%) patients. The three subgroups were comparable in age, body mass index, preoperative prostate-specific antigen level, preoperative Gleason score, clinical stage, operative duration, length of hospital stay, duration of catheterization, biochemical recurrence and continence after LRP. In the patients with a prostate of

journal_name

BJU Int

journal_title

BJU international

authors

Frota R,Turna B,Santos BM,Lin YC,Gill IS,Aron M

doi

10.1111/j.1464-410X.2007.07263.x

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

589-93

issue

5

eissn

1464-4096

issn

1464-410X

pii

BJU7263

journal_volume

101

pub_type

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