The Effect of Large Prostate Volume on Functional Results After Robot-assisted Prostatectomy
Year: 2024
Type: article
Abstract: Background. Large prostate volume is one of the leading factors influencing postoperative functional outcomes after robot-assisted prostatectomy. Purpose. To evaluate the dependence of functional results after robot-assisted prostatectomy on prostate gland (PG) volume. Materials and methods. The results of a prospective study of the dependence of functional outcomes after robot-assisted prostatectomy on prostate volume are presented. From 2018 to 2023, one surgeon performed robot-assisted prostatectomy in 50 patients with Vph≥100 cm3 (group 1) at the National Medical and Surgical Center named after N.I. Pirogov. The comparative group also consisted of 50 people, but with Vpj<100 cm3 (group 2). For the reliability of the study, all patients underwent robot-assisted prostatectomy using the same technique — with bilateral preservation of the neurovascular e bundles of the pancreas. Before and after surgery, all patients underwent quality of life assessment using IPSS and ICEF-5 questionnaires. Results. Before the surgical intervention, the patients filled the questionnaires of the IPSS scale (International Prostate Symptom Score). During the scoring of patients in group 1, the final score averaged 19±3 points, and in group 2, the same indicator was 14±3 points. The final result according to the IIEF-5 questionnaire in both groups was 20±2 points. After surgery, the International Conference on Incontinence Questionnaire-Short Form (ICIQ — SF) was used in both groups to determine the patients’ quality of life dependent on “urination disorder”. In group 1, the final result was 5±3 points, and in group 2, the same indicator was 4±1 points. Conclusion. The large volume of the prostate gland has a significant impact not only on the complexity of robot-assisted prostatectomy, but also on the functional outcomes after it.
Language: English
Subfield: Urology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4405655166