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Differences in long-term continence rates between prostate cancer patients with extraprostatic vs. organ-confined disease undergoing robotic-assisted radical prostatectomy: An observational studys
Garcia, Cristina Cano; Wenzel, Mike; Koll, Florestan; Zatik, Agnes; Kollermann, Jens; Graefen, Markus; Tilki, Derya; Karakiewicz, Pierre I.; Kluth, Luis A.; Chun, Felix K.H.; Mandel, Philipp; Hoeh, Benedikt.
  • Garcia, Cristina Cano; Goethe University Frankfurt. University Hospital Frankfurt. Department of Urology. DE
  • Wenzel, Mike; Goethe University Frankfurt. University Hospital Frankfurt. Department of Urology. DE
  • Koll, Florestan; Goethe University Frankfurt. University Hospital Frankfurt. Department of Urology. DE
  • Zatik, Agnes; Goethe University Frankfurt. University Hospital Frankfurt. Department of Urology. DE
  • Kollermann, Jens; University Hospital Frankfurt. Dr. Senckenberg Institute of Pathology. Frankfurt am Main. DE
  • Graefen, Markus; University Hospital Hamburg-Eppendorf. Martini-Klinik Prostate Cancer Center. Hamburg. DE
  • Tilki, Derya; University Hospital Hamburg-Eppendorf. Martini-Klinik Prostate Cancer Center. Hamburg. DE
  • Karakiewicz, Pierre I.; University of Montréal Health Center. Division of Urology. Cancer Prognostics and Health Outcomes Unit. Montréal. CA
  • Kluth, Luis A.; Goethe University Frankfurt. University Hospital Frankfurt. Department of Urology. DE
  • Chun, Felix K.H.; Goethe University Frankfurt. University Hospital Frankfurt. Department of Urology. DE
  • Mandel, Philipp; Goethe University Frankfurt. University Hospital Frankfurt. Department of Urology. DE
  • Hoeh, Benedikt; Goethe University Frankfurt. University Hospital Frankfurt. Department of Urology. DE
Clinics ; 78: 100284, 2023. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1520710
ABSTRACT
ABSTRACT

Objectives:

Within the tertiary-case database, the authors tested for differences in long-term continence rates (≥ 12 months) between prostate cancer patients with extraprostatic vs. organ-confined disease who underwent Robotic-Assisted Radical Prostatectomy (RARP).

Method:

In the institutional tertiary-care database the authors identified prostate cancer patients who underwent RARP between 01/2014 and 01/2021. The cohort was divided into two groups based on tumor extension in the final RARP specimen patients with extraprostatic (pT3/4) vs. organ-confined (pT2) disease. Additionally, the authors conducted subgroup analyses within both the extraprostatic and organ-confined disease groups to compare continence rates before and after the implementation of the new surgical technique, which included Full Functional-Length Urethra preservation (FFLU) and Neurovascular Structure-Adjacent Frozen-Section Examination (NeuroSAFE). Multivariable logistic regression models addressing long-term continence were used.

Results:

Overall, the authors identified 201 study patients of whom 75 (37 %) exhibited extraprostatic and 126 (63 %) organ-confined disease. There was no significant difference in long-term continence rates between patients with extraprostatic and organ-confined disease (77 vs. 83 %; p = 0.3). Following the implementation of FFLU+ NeuroSAFE, there was an overall improvement in continence from 67 % to 89 % (Δ = 22 %; p < 0.001). No difference in the magnitude of improved continence rates between extraprostatic vs. organ-confined disease was observed (Δ = 22 % vs. Δ = 20 %). In multivariable logistic regression models, no difference between extraprostatic vs. organ-confined disease in long-term continence was observed (Odds Ratio 0.91; p = 0.85).

Conclusion:

In this tertiary-based institutional study, patients with extraprostatic and organ-confined prostate cancer exhibited comparable long-term continence rates.


Texto completo: DisponíveL Índice: LILACS (Américas) Idioma: Inglês Revista: Clinics Assunto da revista: Medicina Ano de publicação: 2023 Tipo de documento: Artigo País de afiliação: Canadá / Alemanha Instituição/País de afiliação: Goethe University Frankfurt/DE / University Hospital Frankfurt/DE / University Hospital Hamburg-Eppendorf/DE / University of Montréal Health Center/CA

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Texto completo: DisponíveL Índice: LILACS (Américas) Idioma: Inglês Revista: Clinics Assunto da revista: Medicina Ano de publicação: 2023 Tipo de documento: Artigo País de afiliação: Canadá / Alemanha Instituição/País de afiliação: Goethe University Frankfurt/DE / University Hospital Frankfurt/DE / University Hospital Hamburg-Eppendorf/DE / University of Montréal Health Center/CA