Robotic-assisted laparoscopic prostatectomy (RALP) has surged in popularity since US Food and Drug Administration approval in 2000. Advantages include improved visualization and increased instrument dexterity within the pelvis. Obesity and narrow pelves have been associated with increased difficulty during open retropubic radical prostatectomy (RRP), but the robotic platform theoretically allow...

OBJECTIVES To assess the impact of shortened hospital stay after radical retropubic prostatectomy for localized prostate cancer on complication rates and hospital costs. METHODS A comparison of results between 171 consecutive patients undergoing radical retropubic prostatectomy between July 1989 and January 1993 (group 1) and 101 consecutive patients operated on since February 1993 (group 2) ...

Prostate cancer is the most common solidorgan cancer in men and one of the leading causes of death. Radical prostatectomy is the gold standard for the localized cases. Unfortunately, radical prostatectomy is associated with erectile dysfunction and penile shrinkage even under cautious cavernous nerve preservation. To improve the patients’ quality of life and the acceptance of the radical prosta...

OBJECTIVE To analyze expectations for sexual life after radical prostatectomy in patients and their partners, and its influence on sexual motivation and bothers in the postoperative period. METHODS A total of 162 patients who underwent retropubic radical prostatectomy and their partners were evaluated. The patients' sexual function, sexual bother and expectations for postoperative sexual life...

We would like add our experience of inguinal hernia (IH) after radical prostatectomy (RP). Sekita et al. found a high incidence of IH of 23.9% after prostate surgery. I commend them on a study with a good comparison group of those patients having a transurethral resection of prostate (TURP). We also looked at IH rates after RP in a retrospective study of 579 patients having radical retropubic p...

OBJECTIVE To compare the short-term outcome of patients undergoing robot-assisted versus open radical prostatectomy. DESIGN Retrospective analysis of prospectively collected data. SETTING A university teaching hospital in Hong Kong. PATIENTS Twenty consecutive cases having robot-assisted radical prostatectomy were compared with the last 20 cases of open radical prostatectomy (prior to Nov...

AIM In order to investigate which types of localized prostate cancer can be treated most effectively by androgen deprivation therapy (ADT), cases of no residual cancer in radical prostatectomy specimens (pT0) after neoadjuvant ADT were analyzed. PATIENTS AND METHODS Patients with localized prostate cancer who underwent radical prostatectomy after neoadjuvant ADT were investigated retrospectiv...

Traditionally, urologists recommend an interval of at least 4 weeks after prostate biopsy before radical prostatectomy. The aim of our study was to evaluate whether the interval from prostate biopsy to radical prostatectomy affects immediate operative outcomes, with a focus on differences in surgical approach. The study population of 1,848 radical prostatectomy patients was divided into two gro...

PURPOSE Obesity has been suggested as a risk factor for worse perioperative outcomes, especially in radical prostatectomy, in several studies. However, the impact of obesity on perioperative outcomes has not yet been well elucidated for robot-assisted laparoscopic radical prostatectomy (RALP). We evaluated whether obesity had an adverse effect on outcomes following RALP compared with retropubic...

Radical prostatectomy in elderly patients is controversial. To identify very old candidates for radical prostatectomy with the highest probability of long-term survival, we studied 47 consecutive men who underwent radical prostatectomy between 1992 and 2005 at an age of 75 years or older. A heuristic approach was used to search for subgroups with particularly high long-term survival. Several tw...