Prospective evaluation of vesicourethral anastomosis outcomes in robotic radical prostatectomy during early experience in a university hospital
Autor(a) principal: | |
---|---|
Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/182139 |
Resumo: | Purpose: Robotic assisted radical prostatectomy (RARP) presents challenges for the surgeon, especially during the initial learning curve. We aimed to evaluate early and mid-term functional outcomes and complications related to vesicourethral anastomosis (VUA), in patients who underwent RARP, during the initial experience in an academic hospital. We also assessed possible predictors of postoperative incontinence and compared these results with the literature. Materials and Methods: We prospectively collected data from consecutive patients that underwent RARP. Patients with at least 6 months of follow-up were included in the analysis for the following outcomes: time to complete VUA, continence and complications related to anastomosis. Nerve-sparing status, age, BMI, EBL, pathological tumor staging, and prostate size were evaluated as possible factors predicting early and midterm continence. Results were compared with current literature. Results: Data from 60 patients was assessed. Mean time to complete VUA was 34 minutes, and console time was 247 minutes. Continence in 6 months was 90%. Incidence of urinary leakage was 3.3%, no patients developed bladder neck contracture or postoperative urinary retention. On multivariate analysis, age and pathological staging was associated to 3-month continence status. Conclusion: Our data show that, during early experience with RARP in a public university hospital, it is possible to achieve good results regarding continence and other outcomes related to VUA. We also found that age and pathological staging was associated to early continence status. |
id |
UFRGS-2_e1829009a6d2e9731fd59530ca9b5ee9 |
---|---|
oai_identifier_str |
oai:www.lume.ufrgs.br:10183/182139 |
network_acronym_str |
UFRGS-2 |
network_name_str |
Repositório Institucional da UFRGS |
repository_id_str |
|
spelling |
Burttet, Lucas MedeirosVaraschin, Gabrielle AguiarBerger, André KivesCavazzola, Leandro TottiBerger, MiltonSilva Neto, Brasil2018-09-18T02:30:20Z20171677-5538http://hdl.handle.net/10183/182139001072269Purpose: Robotic assisted radical prostatectomy (RARP) presents challenges for the surgeon, especially during the initial learning curve. We aimed to evaluate early and mid-term functional outcomes and complications related to vesicourethral anastomosis (VUA), in patients who underwent RARP, during the initial experience in an academic hospital. We also assessed possible predictors of postoperative incontinence and compared these results with the literature. Materials and Methods: We prospectively collected data from consecutive patients that underwent RARP. Patients with at least 6 months of follow-up were included in the analysis for the following outcomes: time to complete VUA, continence and complications related to anastomosis. Nerve-sparing status, age, BMI, EBL, pathological tumor staging, and prostate size were evaluated as possible factors predicting early and midterm continence. Results were compared with current literature. Results: Data from 60 patients was assessed. Mean time to complete VUA was 34 minutes, and console time was 247 minutes. Continence in 6 months was 90%. Incidence of urinary leakage was 3.3%, no patients developed bladder neck contracture or postoperative urinary retention. On multivariate analysis, age and pathological staging was associated to 3-month continence status. Conclusion: Our data show that, during early experience with RARP in a public university hospital, it is possible to achieve good results regarding continence and other outcomes related to VUA. We also found that age and pathological staging was associated to early continence status.application/pdfengInternational braz j urol. Rio de Janeiro. Vol. 43, no.6 (Nov./Dec. 2017), p. 1176-1184Anastomose cirúrgicaComplicações pós-operatóriasEstudos prospectivosProstatectomiaNeoplasias da próstataProcedimentos cirúrgicos robóticosResultado do tratamentoUretraBexiga urináriaMinimally Invasive Surgical ProceduresProstatectomyUrinary IncontinenceProspective evaluation of vesicourethral anastomosis outcomes in robotic radical prostatectomy during early experience in a university hospitalinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL001072269.pdfTexto completo (inglês)application/pdf500575http://www.lume.ufrgs.br/bitstream/10183/182139/1/001072269.pdf4d0c556a70dfecc931e77d866e05f64fMD51TEXT001072269.pdf.txt001072269.pdf.txtExtracted Texttext/plain31935http://www.lume.ufrgs.br/bitstream/10183/182139/2/001072269.pdf.txt9da5d3c317f444827adbafff6c5306c4MD52THUMBNAIL001072269.pdf.jpg001072269.pdf.jpgGenerated Thumbnailimage/jpeg1942http://www.lume.ufrgs.br/bitstream/10183/182139/3/001072269.pdf.jpg6085483c6a414896105d82028e4000b5MD5310183/1821392018-10-05 07:52:29.22oai:www.lume.ufrgs.br:10183/182139Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2018-10-05T10:52:29Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Prospective evaluation of vesicourethral anastomosis outcomes in robotic radical prostatectomy during early experience in a university hospital |
title |
Prospective evaluation of vesicourethral anastomosis outcomes in robotic radical prostatectomy during early experience in a university hospital |
spellingShingle |
Prospective evaluation of vesicourethral anastomosis outcomes in robotic radical prostatectomy during early experience in a university hospital Burttet, Lucas Medeiros Anastomose cirúrgica Complicações pós-operatórias Estudos prospectivos Prostatectomia Neoplasias da próstata Procedimentos cirúrgicos robóticos Resultado do tratamento Uretra Bexiga urinária Minimally Invasive Surgical Procedures Prostatectomy Urinary Incontinence |
title_short |
Prospective evaluation of vesicourethral anastomosis outcomes in robotic radical prostatectomy during early experience in a university hospital |
title_full |
Prospective evaluation of vesicourethral anastomosis outcomes in robotic radical prostatectomy during early experience in a university hospital |
title_fullStr |
Prospective evaluation of vesicourethral anastomosis outcomes in robotic radical prostatectomy during early experience in a university hospital |
title_full_unstemmed |
Prospective evaluation of vesicourethral anastomosis outcomes in robotic radical prostatectomy during early experience in a university hospital |
title_sort |
Prospective evaluation of vesicourethral anastomosis outcomes in robotic radical prostatectomy during early experience in a university hospital |
author |
Burttet, Lucas Medeiros |
author_facet |
Burttet, Lucas Medeiros Varaschin, Gabrielle Aguiar Berger, André Kives Cavazzola, Leandro Totti Berger, Milton Silva Neto, Brasil |
author_role |
author |
author2 |
Varaschin, Gabrielle Aguiar Berger, André Kives Cavazzola, Leandro Totti Berger, Milton Silva Neto, Brasil |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Burttet, Lucas Medeiros Varaschin, Gabrielle Aguiar Berger, André Kives Cavazzola, Leandro Totti Berger, Milton Silva Neto, Brasil |
dc.subject.por.fl_str_mv |
Anastomose cirúrgica Complicações pós-operatórias Estudos prospectivos Prostatectomia Neoplasias da próstata Procedimentos cirúrgicos robóticos Resultado do tratamento Uretra Bexiga urinária |
topic |
Anastomose cirúrgica Complicações pós-operatórias Estudos prospectivos Prostatectomia Neoplasias da próstata Procedimentos cirúrgicos robóticos Resultado do tratamento Uretra Bexiga urinária Minimally Invasive Surgical Procedures Prostatectomy Urinary Incontinence |
dc.subject.eng.fl_str_mv |
Minimally Invasive Surgical Procedures Prostatectomy Urinary Incontinence |
description |
Purpose: Robotic assisted radical prostatectomy (RARP) presents challenges for the surgeon, especially during the initial learning curve. We aimed to evaluate early and mid-term functional outcomes and complications related to vesicourethral anastomosis (VUA), in patients who underwent RARP, during the initial experience in an academic hospital. We also assessed possible predictors of postoperative incontinence and compared these results with the literature. Materials and Methods: We prospectively collected data from consecutive patients that underwent RARP. Patients with at least 6 months of follow-up were included in the analysis for the following outcomes: time to complete VUA, continence and complications related to anastomosis. Nerve-sparing status, age, BMI, EBL, pathological tumor staging, and prostate size were evaluated as possible factors predicting early and midterm continence. Results were compared with current literature. Results: Data from 60 patients was assessed. Mean time to complete VUA was 34 minutes, and console time was 247 minutes. Continence in 6 months was 90%. Incidence of urinary leakage was 3.3%, no patients developed bladder neck contracture or postoperative urinary retention. On multivariate analysis, age and pathological staging was associated to 3-month continence status. Conclusion: Our data show that, during early experience with RARP in a public university hospital, it is possible to achieve good results regarding continence and other outcomes related to VUA. We also found that age and pathological staging was associated to early continence status. |
publishDate |
2017 |
dc.date.issued.fl_str_mv |
2017 |
dc.date.accessioned.fl_str_mv |
2018-09-18T02:30:20Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/other |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10183/182139 |
dc.identifier.issn.pt_BR.fl_str_mv |
1677-5538 |
dc.identifier.nrb.pt_BR.fl_str_mv |
001072269 |
identifier_str_mv |
1677-5538 001072269 |
url |
http://hdl.handle.net/10183/182139 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
International braz j urol. Rio de Janeiro. Vol. 43, no.6 (Nov./Dec. 2017), p. 1176-1184 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFRGS instname:Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
instname_str |
Universidade Federal do Rio Grande do Sul (UFRGS) |
instacron_str |
UFRGS |
institution |
UFRGS |
reponame_str |
Repositório Institucional da UFRGS |
collection |
Repositório Institucional da UFRGS |
bitstream.url.fl_str_mv |
http://www.lume.ufrgs.br/bitstream/10183/182139/1/001072269.pdf http://www.lume.ufrgs.br/bitstream/10183/182139/2/001072269.pdf.txt http://www.lume.ufrgs.br/bitstream/10183/182139/3/001072269.pdf.jpg |
bitstream.checksum.fl_str_mv |
4d0c556a70dfecc931e77d866e05f64f 9da5d3c317f444827adbafff6c5306c4 6085483c6a414896105d82028e4000b5 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS) |
repository.mail.fl_str_mv |
|
_version_ |
1801224950501081088 |