Single-port and multiport robot-assisted radical prostatectomy: A meta-analysis.

Objective: To compare the perioperative, oncological, and functional outcomes between single-port robot-assisted radical prostatectomy (SP-RARP) and multiport robot-assisted radical prostatectomy (MP-RARP) via a meta-analysis. Methods: For relevant articles, three electronic databases, including PubMed, Scopus, and Web of Science, were searched from their inception until January 15, 2022. A meta-analysis has been reported in line with PRISMA 2020 and AMSTAR Guidelines. The risk ratio and weighted mean difference (MD) were applied for the comparison of dichotomous and continuous variables with 95% confidence intervals (CI). Results: Of the 368 retrieved abstracts, 41 underwent full-text review, and seven studies were included in the final analysis, comprising a total cohort of 1,934 cases of RARP (355 SP-RARP cases and 1,579 MP-RARP cases). Compared to MP-RARP, the SP-RARP group had less postoperative pain score (MD = -0.7, 95% CI -1 to -0.4, P<0.001), morphine milligram equivalents usage (MD = -3.8, 95% CI -7.5 to -0.1, P=0.04), hospital stay (MD = -1, 95% CI -1.8 to -0.1, P=0.019), and urinary catheterization time (MD = -1.1, 95% CI -1.9 to -0.3, P=0.008). However, the SP-RARP group had a longer console time than the MP-RARP group (MD = 5.3, 95% CI 2.6 to 7.9, P<0.001). Conclusions: Our study demonstrated that early results were mostly equivalent with the single-port approach. This technology may help to reduce the hospital stay and postoperative pain for patients undergoing radical prostatectomy compared to MP-RARP, without compromising the functional and early oncological outcomes.

Factors associated with inconsistent condom use among female sex workers in Nha Trang, Vietnam.

This study examined consistent condom use with clients, self-reported sexually transmitted infections (STIs), and associated factors among Vietnamese female sex workers (FSWs). Data were collected through a cross-sectional survey among 192 FSWs in Nha Trang city, in 2005. The rate of consistent condom use with casual clients, regular clients, and nonpaying partners were 59.3%, 38.3%, and 5.3%, respectively. About 5.7% of the FSWs admitted that they are intravenous drug users, and 66.7% of the sample had symptoms of STIs in the past 12 months. Indirect FSW, being drug users, having many clients per week, not watching television on a regular basis, those who thought that they themselves are at extremely high risk of having HIV, and those have never been tested for HIV have been found to be associated with inconsistent condom use. Our results suggest the need to improve STI control in FSWs, further promotion of condom use and information, education, and communication among FSWs.

Reproductive tract infections among married women aged 15-49 in a rural commune of the Northern Vietnam

A cross-sectional study was conducted among 96 married women aged 15-49 in a rural Northern commune in December 2004. The results showed that the RTls prevalence was 53.1 %. Of these 96 respondents, 55.2% had adequate knowledge about RTls. There was a relatively high agreement between the RTI diagnosed by health workers and RTls self-diagnosed by the respondents on (Kappa = 0.41). Almost 59% of the women were aware of their infections but they did not seek for any medical treatment because 64.3% thought RTls was not a big deal, 50% did not have time, 39.3% felt ashamed to try, 21.4% of them waited for regular check-up campaigns, and 7.1% felt bearable not to go for a health check-up. There was an association between adequate IEC provided to the women and their knowledge on RTIs (OR=5.56; 95% CI: 1.88-16.90), between their knowledge and their capability to selfidentify RTls (OR=22; 95% CI: 5.02-111.41). Women who thought local commune health station well equipped and adequate medications were 4.6 times more likely to come for medical treatment than those who did not think so. The selfperception of the women on their RTIs' was highly matched with the results of clinical exams (75%). Health workers were best health information providers via direct EIC and consultation.