The impact of anterior urethropexy during robotic prostatectomy on urinary and sexual outcomes.

Abstract:

OBJECTIVES:We determined the effect of an anterior urethropexy (AU) stitch on postoperative urinary continence, irritative urinary symptoms, and sexual function after robotic radical prostatectomy (RP). METHODS:Consecutive patients undergoing robotic RP for prostate cancer were prospectively evaluated. The Expanded Prostate Cancer Index Composite (EPIC) questionnaire was administered pre- and postoperatively to all patients. Patients were then grouped by AU status. A linear mixed model was used to compare the rate of recovery in incontinence (UIN), irritative (UIR), and sexual domain scores between the two groups. A t-test was used to compare UIN, UIR, and sexual domain scores at specific time points. RESULTS:A total of 229 patients underwent robotic RP and filled out a preoperative and at least one postoperative EPIC questionnaire. In this population, 87 did have and 142 did not have an AU performed. The mean EPIC-UIN score at 3 months was 68 in the AU group and 58 in the non-AU group (p = 0.015). Comparison of all other time points and overall urinary scores revealed no other statistically significant differences after surgery. Sexual domain scores were also improved at 3 months in the AU group (p = 0.002). CONCLUSIONS:AU during robotic RP leads to improved urinary continence and sexual functioning at 3 months of follow-up. An earlier return to continence may facilitate an earlier return to sexual activity. AU may offer a short-term quality-of-life advantage for patients undergoing robotic RP.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Johnson EK,Hedgepeth RC,He C,Wood DP Jr

doi

10.1089/end.2010.0413

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

615-9

issue

4

eissn

0892-7790

issn

1557-900X

journal_volume

25

pub_type

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