Title of article
The Effect of Single-port Transvesical Laparoscopic Radical Prostatectomy on Erectile Function and Urinary Continence Compared to Intrafascial Endoscopic Extraperitoneal Radical Prostatectomy
Author/Authors
Yang, Yi Department of Urology - Shenzhen Second People's Hospital - The First Affiliated Hospital of Shenzhen University - Shenzhen - 518039, China , Hou, Guoliang Department of Urology - Foshan First Municipal People's Hospital - Foshan, China , Mei, Hongbing Department of Urology - Shenzhen Second People's Hospital - The First Affiliated Hospital of Shenzhen University - Shenzhen - 518039, China , Zhang, Xintao Department of Urology - Shenzhen Second People's Hospital - The First Affiliated Hospital of Shenzhen University - Shenzhen - 518039, China , Han, Xiaohong Department of Urology - Shenzhen Second People's Hospital - The First Affiliated Hospital of Shenzhen University - Shenzhen - 518039, China , Pang, Jun Department of Urology - The Seventh Affiliated Hospital - Sun Yat-sen University - Shenzhen, China , Gao, Xin Department of Urology - The Third Affiliated Hospital - Sun Yat - sen University - Guangzhou, China
Pages
5
From page
592
To page
596
Abstract
Purpose: To compare the erectile function and urinary continence of patients after single-port transvesical laparoscopic radical prostatectomy (STLRP) with intrafascial endoscopic extraperitoneal radical prostatectomy (IEERP).
Materials and Methods: Patients treated with STLRP (35) or IEERP (52) were recruited from September 2013 to June 2017. At baseline preoperatively and 2-year follow-up postoperatively, sex and continence assessments were performed by International Index of Erectile Function-6 (IIEF-6) and daily pads, respectively.
Results: The sexual function at 3 months after RP declined obviously. 71.4% (STLRP) and 38.5% (IEERP) patients
recovered potency at 6 months postoperatively (P < .01). 82.9% (STLRP) and 59.6% (IEERP) patients
recovered potency at 2 years postoperatively (P < .05). 97.1% (STLRP) and 75.0% (IEERP) patients recovered
continence (0 pad/day) at 3 months postoperatively (P < .01). Continence achieved 100.0% at 2 years after RP in
both groups.
Conclusion: Patients receiving STLRP may obtain better and faster postoperative functional recovery than the ones receiving IEERP. As an exploratory research, STLRP may be another effective treatment for organ-confined prostate cancer.
Keywords
radical prostatectomy , transvesical , single-port , erectile , continence , prostate cancer
Journal title
Urology Journal
Serial Year
2020
Record number
2644397
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