Outcomes after precision prostatectomy: safety, efficacy and transference of skills

Kaushik P. Kolanukuduru, Dallin Busby, Ralph Grauer, Manish K. Choudhary, Asher Mandel, Ashutosh Maheshwari, Ash K. Tewari, Mani Menon

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Purpose: Precision Prostatectomy (PP) is a viable treatment option for men with unilateral dominant cancer who are interested in preserving functional outcomes. To date, the data published about the outcomes of this technique has come from a single center only (Henry Ford - HF). We present the surgical, functional, and oncological outcomes of the first series of patients to undergo PP outside of HF, to demonstrate the safety and reproducibility of the technique. Methods: Between 2022 and 2023, PP was offered to select patients who were interested in preserving their functional status. Men who underwent PP were followed at 3 monthly intervals; information regarding their functional status was simultaneously obtained. Men who had biochemical recurrence were advised to undergo remnant biopsy. If residual cancer was detected, then remnant removal was performed. Results: The median age and median PSA of the study group was 63 years and 6.89 ng/ml respectively. The median operative and console times were 196.5 and 154 minutes. No intra-operative complications were noted. Three patients had a total of three post-operative complications. Three patients had biochemical recurrence; cancer was not detected in any of these patients on postoperative biopsies of the prostatic remnant. At 12 months, 91% of patients reported using 0 pads/day and 90.9% of pre-operatively potent patients were potent at 12 months. Conclusion: PP is a safe and reproducible technique that can ensure cancer control and preservation of functional status in select patients. Further studies with large sample sizes and longer follow-up are required to ascertain the long-term outcomes of this surgical technique.

Original languageEnglish
Article number394
JournalWorld Journal of Urology
Volume42
Issue number1
DOIs
StatePublished - Dec 2024
Externally publishedYes

Keywords

  • Erectile dysfunction
  • Minimally invasive surgical procedures
  • Prostate cancer
  • Prostatectomy
  • Robotics
  • Urinary incontinence

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