Abstract

COUGHLIN, Geoff; PALMER, Kenneth J.; SHAH, Ketul  and  PATEL, Vipul R.. Robotic-assisted radical prostatectomy: functional outcomes. Arch. Esp. Urol. [online]. 2007, vol.60, n.4, pp.408-418. ISSN 0004-0614.

Objectives: To present a contemporary review of the functional outcomes following robotic-assisted radical prostatectomy based on published postoperative erectile function and urinary continence data. Methods: A review of the available literature on Medline and PubMed databases was performed. Results: Factors affecting erectile function include age, preoperative SHIM scores, co-morbidities and nerve sparing techniques. Large robotic-assisted laparoscopic radical prostatectomy (RALP) series like the Vattikuti Institute’s and Ohio State University’s demonstrate early potency outcomes: 70% and 80% of patients, respectively, who underwent bilateral nerve sparing and had a pre-operative SHIM score 17, regained potency after a follow-up of 12 months. This has also been reproduced by smaller series, where 43% of patients achieved potency within 3 months postop and 68%, 79% of patients who underwent unilateral or bilateral nerve sparing, respectively, were able to have intercourse with or without PDE5 inhibitors after 12 months follow-up. Postoperative continence rates after RALP for larger series are 76%-92% and 95.2%-98% while that for smaller series range from 76% and 89% at 3 and 12 months, respectively. Conclusions: RALP is a safe, minimally invasive procedure that produces functional outcomes comparable to contemporary results of both open and laparoscopic prostatectomy.

Keywords : Robotic prostatectomy; Laparoscopy; Prostate cancer; Post-prostatectomy potency; Post-prostatectomy continence.

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