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Gross AJ, Rosenbaum C, Becker B, Netsch C. [Development of endoscopic enucleation of the prostate]. Aktuelle Urol 2024; 55:207-212. [PMID: 38599594 DOI: 10.1055/a-2286-1243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/12/2024]
Abstract
This article deals with lasers from their initial description to the most advanced applications in the treatment of benign prostate enlargement.
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Affiliation(s)
- Andreas J Gross
- Abteilung für Urologie, Asklepios Klinik Barmbek, Hamburg, Germany
| | | | - Benedikt Becker
- Abteilung für Urologie, Asklepios Klinik Barmbek, Hamburg, Germany
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Su YK, Katz BF, Sehgal SS, Yu SJS, Su YC, Lightfoot A, Lee Z, Llukani E, Monahan K, Lee DI. Does previous transurethral prostate surgery affect oncologic and continence outcomes after RARP? J Robot Surg 2015; 9:291-7. [PMID: 26530840 DOI: 10.1007/s11701-015-0529-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2015] [Accepted: 07/17/2015] [Indexed: 11/27/2022]
Abstract
We examined the effect of previous transurethral resection of the prostate (TURP) on multiple oncologic and continence outcomes after robotic-assisted radical prostatectomy (RARP). We performed a retrospective cohort study of a total of 2693 patients from 2007 to 2014 who underwent RARP. Patients were stratified into 49 patients who had previous TURP prior to RARP (group 1) and 2644 patients who had no TURP prior to RARP (group 2). We collected operative variables including estimated blood loss, operative time, and positive surgical margin (PSM) rates. Urinary continence, defined as 0 pads per day (PPD), and social continence, defined as 1-PPD, were also assessed. American Urological Association Symptoms Score (AUASS), overall ability to function sexually, and Expanded Prostate Cancer Index Composite (EPIC) questionnaire were evaluated at 3 and 12 months after RARP. Weakness of urinary stream (EPIC #4d) at 12 months imposed a greater problem for group 1 patients with prior TURP compared to group 2 patients without prior TURP (p = 0.012). PSM was not statistically significant between the two groups (p = 0.110). Group 1 patients had a greater PSM rate (30.61 %) as compared to group 2 (20.95 %). PSM locations in group 1 patients showed the most common locations at the posterior and apex. The difference between the two groups for AUASS, overall sexual function, estimated blood loss, operative time, urinary continence, and social continence was not statistically significant. We examined the effect of previous TURP on postoperative RARP continence and oncologic outcomes. This data can be used to counsel those with prior TURP before RARP.
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Affiliation(s)
- Yu-Kai Su
- Department of Urology, University of Pennsylvania Health System, Penn Presbyterian Medical Center, University of Pennsylvania, 300 Medical Office Building, 51 North 39th Street, Philadelphia, PA, 19104, USA.
| | - Benjamin F Katz
- Department of Urology, University of Pennsylvania Health System, Penn Presbyterian Medical Center, University of Pennsylvania, 300 Medical Office Building, 51 North 39th Street, Philadelphia, PA, 19104, USA.
| | - Shailen S Sehgal
- Department of Urology, University of Pennsylvania Health System, Penn Presbyterian Medical Center, University of Pennsylvania, 300 Medical Office Building, 51 North 39th Street, Philadelphia, PA, 19104, USA.
| | - Sue-Jean S Yu
- Department of Urology, University of Pennsylvania Health System, Penn Presbyterian Medical Center, University of Pennsylvania, 300 Medical Office Building, 51 North 39th Street, Philadelphia, PA, 19104, USA
| | - Yu-Chen Su
- Division of Biostatistics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
| | - Andrew Lightfoot
- Department of Urology, University of Pennsylvania Health System, Penn Presbyterian Medical Center, University of Pennsylvania, 300 Medical Office Building, 51 North 39th Street, Philadelphia, PA, 19104, USA.
| | - Ziho Lee
- Department of Urology, University of Pennsylvania Health System, Penn Presbyterian Medical Center, University of Pennsylvania, 300 Medical Office Building, 51 North 39th Street, Philadelphia, PA, 19104, USA.
| | - Elton Llukani
- Department of Urology, University of Pennsylvania Health System, Penn Presbyterian Medical Center, University of Pennsylvania, 300 Medical Office Building, 51 North 39th Street, Philadelphia, PA, 19104, USA.
| | - Kelly Monahan
- Department of Urology, University of Pennsylvania Health System, Penn Presbyterian Medical Center, University of Pennsylvania, 300 Medical Office Building, 51 North 39th Street, Philadelphia, PA, 19104, USA.
| | - David I Lee
- Department of Urology, University of Pennsylvania Health System, Penn Presbyterian Medical Center, University of Pennsylvania, 300 Medical Office Building, 51 North 39th Street, Philadelphia, PA, 19104, USA.
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