%0 Journal Article
%T We Investigated the Impact of Transurethral Resection of the Prostate (TUR-P) on Perioperative Outcomes in Patients Who Underwent Robot Assisted Radical Prostatectomy (RARP)
%J -
%D 2019
%X Objective: We investigated the impact of transurethral resection of the prostate (TUR-P) on perioperative outcomes in patients who underwent robot assisted radical prostatectomy (RARP). Material and Methods: A total of 752 cases performed by 3 surgeons between February 2009 and December 2017 were reviewed retrospectively. First 100 cases of each surgeon were not included to exclude the learning curve effect. All patients (n = 452) were divided into two groups according to having a previous TUR-P history as Group 1 = patients with TUR-P history (n = 38), Group 2 = patients without TUR-P history (n = 414). Results: Mean patient age was 68.3¡À 5.9 versus 63.3¡À6.8 years p=0.00; mean console time was 144.3¡À37.1 versus 124.6¡À24.0 minutes, p=0.02; bladder neck reconstruction was 31.6% versus 16.7%, p=0.02; transurethral catheter removal time was 11.3¡À5.1 versus 8.6¡À2.7 days, p=0.00; for groups 1 and 2, respectively. Positive surgical margin rates were 26.3% versus 27.3%, p=0.897; erectile function (IIEF¡Ý17) rates on postoperative 12th-month were 60% versus 67%, p=0.644 for groups 1 and 2, respectively. First 3 months continence rates were 52.6% versus 72%, p=0.035 for groups 1 and group 2, respectively. Postoperative 12. month continence rates were similar for group 1 and 2(94.7% vs 97.3% ; p=0.562). Conclusion: RARP after TUR-P has similar oncological outcomes, longer operative time, worse postoperative early continence acquisition rates and longer urethral catheter removal time
%K Prostat kanseri
%K Robotik prostatektomi
%K TUR-P
%K ge£¿irilmi£¿ cerrahi
%U http://dergipark.org.tr/yud/issue/46377/582509