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Surg Innov. 2012 Mar;19(1):5-10. doi: 10.1177/1553350611403770. Epub 2011 Apr 25.

Understanding early functional recovery after robotic prostatectomy.

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1
Department of Urology, Division of Oncology, University of Michigan, Ann Arbor, MI 48109, USA.

Abstract

OBJECTIVES:

The time to regain urinary control and sexual function after robotic-assisted prostatectomy varies widely. The authors performed a study to prospectively assess relationships between intraoperative processes and early functional recovery after surgery.

METHODS:

Prostate cancer patients undergoing robotic prostatectomy prospectively completed questionnaires (Expanded Prostate Cancer Index Composite-Short Form, Sexual Health Inventory for Men) preoperatively and at 3 months postoperatively. Relationships between intraoperative processes and early recovery were measured using multiple logistic regression.

RESULTS:

At 3 months, 73.9% and 29.7% of patients had recovered urinary and sexual function, respectively. Bladder neck preservation was associated with early recovery of both urinary and sexual function (P < .01). The quality of nerve sparing (P = .01), seminal vesicle sparing (P = .03), and the use of urethral suspension (P = .04) were associated with early recovery of sexual function.

CONCLUSIONS:

Early functional recovery for patients undergoing robotic-assisted prostatectomy varies by both patient characteristics and process measures. The causal link between intraoperative processes and patient outcomes merits further study through quality improvement collaboratives.

PMID:
21521701
DOI:
10.1177/1553350611403770
[Indexed for MEDLINE]
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