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Previous bladder outlet surgery does not affect medium‐term outcomes after laparoscopic radical prostatectomy
Author(s) -
Eden Christopher G.,
Richards Andrew J.,
Ooi Jason,
Moon Daniel A.,
Laczko Istvan
Publication year - 2007
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2006.06642.x
Subject(s) - medicine , prostatectomy , laparoscopic radical prostatectomy , urology , prostate cancer , prostate , neck of urinary bladder , surgery , stage (stratigraphy) , potency , urinary bladder , cancer , paleontology , biology , biochemistry , chemistry , in vitro
OBJECTIVES To investigate the effect of previous bladder outlet surgery (BOS) on the peri‐operative variables of patients having laparoscopic radical prostatectomy (LRP), as reported evidence as to whether BOS affects the outcome of RP is contradictory. PATIENTS AND METHODS Of 600 consecutive patients attending for LRP from March 2000 to January 2006, 558 had had no surgery (NS) and 42 (7.0%) had a history of BOS (transurethral prostatectomy in 35, 5.8%; bladder neck incision in seven, 1.2%). All patients had clinical stage ≤ T3aN0M0 prostate cancer and had their procedure performed or supervised by the same surgeon. RESULTS Patients with previous BOS had a significantly greater age (mean 64.6 vs 61.8 years, P = 0.008), duration of catheterization (mean 13.7 vs 10.5 days, P = 0.003), proportion of pT3a tumours (16.7% vs 4.5%, P = 0.009) and potency rates at ≥ 24 months ( P < 0.001). Patients with previous BOS had a significantly lower body weight (mean 79.7 vs 83.0 kg, P = 0.05) and prostate weight (mean 46.7 vs 58.6 g, P = 0.01). Although patients with previous BOS had poorer continence at 3 months (61% vs 91%, P < 0.001), continence rates were similar in the two groups after this. CONCLUSION Previous BOS does not affect the medium‐term outcomes after LRP.