PURPOSE: Laparoscopic simple prostatectomy has been proposed to treat large glands. To date groups have investigated the feasibility and perioperative results of laparoscopic simple prostatectomy but to our knowledge no study has focused on its complications and functional results at longer followup. We investigated complications and functional results in patients with a large prostate who were treated with laparoscopic simple prostatectomy and had at least 1 year of followup. MATERIAL AND METHODS: From our prospectively maintained database we extracted data on 78 patients treated with laparoscopic simple prostatectomy at our institution who had at least 1 year of reported followup. Demographics, perioperative results, early and late complications, and functional results were evaluated. Followup was planned at 1, 3, 6 and 12 months, and every 6 months thereafter. RESULTS: Mean followup was 30 months. Grade III complications were recorded in 2 cases and late complications were reported in 4 (5%). Statistically significant differences were observed in the International Prostate Symptom Score, the International Prostate Symptom Score quality of life index and maximum urine flow when comparing preoperative and postoperative results. No significant differences were recorded in maximum urine flow or the International Prostate Symptom Score quality of life index during followup. CONCLUSIONS: Results suggest that laparoscopic simple prostatectomy is safe and effective even after a significant period, as indicated by the low complication rate and positive, stable functional results found during followup. In our opinion laparoscopic simple prostatectomy can be offered to patients as a valid treatment option for a large prostate at advanced laparoscopic centers.

Extraperitoneoscopic transcapsular adenomectomy: complications and functional results after at least 1 year of followup.

PORPIGLIA Francesco;C. Fiori;B. Cavallone;I. Morra;R. Bertolo;SCARPA Roberto Mario
2011-01-01

Abstract

PURPOSE: Laparoscopic simple prostatectomy has been proposed to treat large glands. To date groups have investigated the feasibility and perioperative results of laparoscopic simple prostatectomy but to our knowledge no study has focused on its complications and functional results at longer followup. We investigated complications and functional results in patients with a large prostate who were treated with laparoscopic simple prostatectomy and had at least 1 year of followup. MATERIAL AND METHODS: From our prospectively maintained database we extracted data on 78 patients treated with laparoscopic simple prostatectomy at our institution who had at least 1 year of reported followup. Demographics, perioperative results, early and late complications, and functional results were evaluated. Followup was planned at 1, 3, 6 and 12 months, and every 6 months thereafter. RESULTS: Mean followup was 30 months. Grade III complications were recorded in 2 cases and late complications were reported in 4 (5%). Statistically significant differences were observed in the International Prostate Symptom Score, the International Prostate Symptom Score quality of life index and maximum urine flow when comparing preoperative and postoperative results. No significant differences were recorded in maximum urine flow or the International Prostate Symptom Score quality of life index during followup. CONCLUSIONS: Results suggest that laparoscopic simple prostatectomy is safe and effective even after a significant period, as indicated by the low complication rate and positive, stable functional results found during followup. In our opinion laparoscopic simple prostatectomy can be offered to patients as a valid treatment option for a large prostate at advanced laparoscopic centers.
2011
185
5
1668
1673
http://dx.doi.org/10.1016/j.juro.2010.12.047
Adenoma; pathology/physiopathology/surgery, Aged, Follow-Up Studies, Humans, Laparoscopy; methods, Male, Patient Satisfaction, Postoperative Complications, Prospective Studies, Prostatic Hyperplasia; pathology/physiopathology/surgery, Prostatic Neoplasms; pathology/physiopathology/surgery, Quality of Life, Questionnaires, Regression Analysis, Treatment Outcome, Urination; physiology
Porpiglia, Francesco; Fiori, C.; Cavallone, B.; Morra, I.; Bertolo, R.; SCARPA Roberto Mario,
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2318/137411
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