Laparoscopic radical prostatectomy in renal transplant recipients.
OBJECTIVE
To report our experience with 9 consecutive laparoscopic radical prostatectomy (LRP) on renal transplant recipients (RTR) and to compare it with other LRPs performed during the same period by the same surgeons. Retropubic radical prostatectomy has widely been described in RTR, whereas LRP has rarely been studied.


METHODS
Between January 2007 and December 2008, all clinical data from patients undergoing radical prostatectomy were prospectively collected in a database. The database was searched to find information of LRP on RTR. We compared RTR and other patients for all relevant clinical data and for surgical complications.


RESULTS
A total of 9 LRP on RTR (5.8%) and other 164 LRP were performed. LRP on RTR were compared with other LRP. No statistically relevant difference was observed in patient characteristics, biopsy core pathologic analysis, prostate specimen pathologic analysis, and oncologic outcomes. Surgical procedure was also achieved under the same conditions in RTR than in other patients (surgical time, blood loss, transfusion rate, bladder injury). Rectal injury rate was significantly higher in RTR than in other patients (22.2% vs 1.8%, P = .022).


CONCLUSIONS
LRP in RTR is feasible. The procedure can be managed the same way as LRP on other patients, but special care must be taken to avoid rectal injury. In our experience, the dissection of the posterior side of the prostate was more difficult on RTR than on other patients.
Robert
Grégoire
G
Department of Urology, Bordeaux University Hospital, Bordeaux, France. gregoire.robert@chubordeaux.fr
Elkentaoui
Hicham
H
Pasticier
Gilles
G
Couzi
Lionel
L
Merville
Pierre
P
Ravaud
Alain
A
Ballanger
Philippe
P
Ferrière
Jean-Marie
JM
Wallerand
Hervé
H
D000368:Aged; D006801:Humans; D016030:Kidney Transplantation; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011468:Prostatectomy / Q000379:methods*