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Minerva Urol Nefrol. 2018 Feb;70(1):66-73. doi: 10.23736/S0393-2249.17.02909-5. Epub 2017 Sep 7.

Outcomes following robotic-assisted laparoscopic prostatectomy: Pentafecta and Trifecta achievements.

Author information

1
Department of Urology, Lenox Hill Hospital, Hofstra Northwell School of Medicine, New York, NY, USA.
2
Department of Urology, Lenox Hill Hospital, Hofstra Northwell School of Medicine, New York, NY, USA - robotmd@yahoo.com.

Abstract

BACKGROUND:

Functional and oncologic outcomes following radical prostatectomy play a major role in patient satisfaction after treatment. This study was designed to assess the functional and oncologic outcome after robotic assisted radical prostatectomy (RARP) in a single surgeon series of patients.

METHODS:

A prospectively maintained database of patients undergoing robotic radical prostatectomy in a referral academic center was queried for functional and oncologic outcome. Patients undergoing RARP between 2010 and 2013 were included. Analysis was performed with SPSS and SAS, χ2, Mann-Whitney and t-test were used when appropriate.

RESULTS:

Overall, 566 patients were included in the analysis. The Trifecta and Pentafecta was 73.9% and 64.1%, respectively. Patients achieving Pentafecta were younger (P<0.001), had lower PSA level (P=0.04), lower Biopsy Gleason (P<0.01), lower risk prostate cancer (P<0.01) and fewer comorbidities (P=0.03). The patients were followed up for a median of 27.4 months in Trifecta and 20.6 months in Pentafecta group. At 12-month follow-up the continence and potency rate was 90.6% and 84.1%, respectively.

CONCLUSIONS:

Although preoperative counseling for RARP surgery using Pentafecta criteria offers more precise information and reasonable expectations than using the Trifecta, further research is required to prepare a standard reporting outline.

PMID:
28882030
DOI:
10.23736/S0393-2249.17.02909-5
[Indexed for MEDLINE]
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