Effect of large prostate volume on perioperative, oncological and functional outcomes after robotic radical prostatectomy: A retrospective clinical study

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dc.contributor.authorBitkin, Alper
dc.contributor.authorSungur, Ubeyd
dc.contributor.authorKaradağ, Serdar
dc.contributor.authorEvren, İsmail
dc.contributor.authorGürbüz, Necati
dc.contributor.authorHacıislamoğlu, Ahmet
dc.contributor.authorTuğcu, Volkan
dc.date.accessioned2024-05-19T14:23:39Z
dc.date.available2024-05-19T14:23:39Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractObjective: In this study, we aimed to evaluate the effect of large prostate volume on surgical, oncological and functional outcomes in prostate cancer patients who underwent Robot-assisted radical prostatectomy (RARP). Material and Methods: In this study, patients who underwent RARP due to prostate cancer by a single surgeon were divided into two groups as large prostate volume over 75 cc (Group-1) and prostate volume less than 75 cc (Group-2), and these two groups were compared retrospectively. Patients who were followed up for 12 months were assessed. Results: There was no significant difference between the two groups in terms of age, preoperative PSA level, clinical stage distributions, Gleason score, D’Amico risk classification, preoperative potency and continence assessment (p>0.05). The operative time was 169.9 ± 62.5 minutes and 145.6 ± 56.1 minutes in Groups 1 and 2, respectively, and was significantly higher in Group 1 (p= 0.02). Bladder neck reconstruction was performed in 17 (35%) and 2 (3%) patients in Groups 1 and 2, respectively, and it was statistically significantly higher in Group-1 (p=0.001). After removal of the urethral catheter in Group 1 and Group 2, full continence and potency rates were similar during the 1-year follow-up (p >0.05). Biochemical recurrence rates at 6 months and 1 year were similar in Group 1 and Group 2 (p >0.05). Conclusion: In prostate cancer patients with large prostate volume, RARP results in longer operative time and bladder neck reconstruction may be required.. However, in operations performed by experienced surgeons, large prostate volume does not have a negative effect on surgical, functional and oncological outcomes.en_US
dc.identifier.doi10.33719/yud.2023;18-1-1204096
dc.identifier.endpage69en_US
dc.identifier.issn1305-2489
dc.identifier.issn2687-1955
dc.identifier.issue1en_US
dc.identifier.startpage62en_US
dc.identifier.trdizinid1158691en_US
dc.identifier.urihttps://doi.org/10.33719/yud.2023;18-1-1204096
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1158691
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4070
dc.identifier.volume18en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofYeni Üroloji Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.titleEffect of large prostate volume on perioperative, oncological and functional outcomes after robotic radical prostatectomy: A retrospective clinical studyen_US
dc.typeArticleen_US

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