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, = 0.034), length of hospital stay (2.9 ± 1.5 days vs. 4.6 ± 1.5 days, = 0.001), and catheterization time (2.4 ± 1.7 days vs. 8.1 ± 2.4 days, < 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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| http://dx.doi.org/10.3390/jcm12144867 | DOI Listing |
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Article Synopsis
- * A total of 89 patients were analyzed, with significant improvements in urinary symptoms and quality of life observed post-surgery, as shown by decreases in International Prostate Symptoms Score (IPSS) and post-voiding residual volume.
- * Only 4.5% of patients experienced urinary incontinence after the procedure, and all regained continence within 3 months, indicating that SP-RASP is a safe and effective option for this condition.
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