title: One-Year Outcome Comparison of Laparoscopic, Robotic, and Robotic Intrafascial Simple Prostatectomy for Benign Prostatic Hyperplasia.
abstract: OBJECTIVE
  To compare preoperative, intraoperative, and postoperative variables at 1, 6, and 12 months after laparoscopic simple prostatectomy (LSP), robotic simple prostatectomy (RSP), and intrafascial robotic simple prostatectomy (IF-RSP).
  
  
  METHODS
  From January 2003 to November 2014, 315 simple prostatectomies were performed using three techniques, LSP, RSP, and IF-RSP; of the patients who underwent these procedures, 236 met the inclusion criteria for this study.
  
  
  RESULTS
  No statistically significant difference (SSD) was found in preoperative or perioperative variables. Of the postoperative variables that were analyzed, an SSD (p > 0.01) in prostate-specific antigen levels was found, with levels of 0.07 ± 1.1 ng/mL following IF-RSP, and the detection rate of prostate adenocarcinoma (26%) and high-grade prostatic intraepithelial neoplasia (HG-PIN; 12%) was higher for IF-RSP. We also found that lower International Prostate Symptom Scores (IPSS) were associated with LSP, at 4.8 ± 3.2. Erectile function was reduced in IF-RSP patients in the first 6 months after surgery but was similar in all patient groups at 12 months after surgery; continence and other measured parameters were also similar at 12 months for all three techniques.
  
  
  CONCLUSIONS
  The IF-RSP technique is safe and effective, with results at 1-year follow-up for continence, IPSS, and Sexual Health Inventory for Men scores similar to those for the LSP and RSP techniques. IF-RSP also offers the advantages that it does not require postoperative irrigation, has an increased ability to detect prostate cancer (CA) and HG-PIN, and avoids the risk of future cancer and subsequent reintervention for possible new prostate growth.
authors.affiliation: 1 Instituto Medico La Floresta, Centro de Cirugía Robótica Mínimamente Invasiva (CIMI) , Caracas, Venezuela .
authors.forename: Oscar Dario
authors.initials: OD
authors.lastname: Martín Garzón
authors.affiliation: 2 Department of Urology, King Abdulaziz University , Jeddah, Saudi Arabia .|3 USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors.forename: Raed A
authors.initials: RA
authors.lastname: Azhar
authors.affiliation: 1 Instituto Medico La Floresta, Centro de Cirugía Robótica Mínimamente Invasiva (CIMI) , Caracas, Venezuela .
authors.forename: Leonardo
authors.initials: L
authors.lastname: Brunacci
authors.affiliation: 1 Instituto Medico La Floresta, Centro de Cirugía Robótica Mínimamente Invasiva (CIMI) , Caracas, Venezuela .
authors.forename: Nelson Emilio
authors.initials: NE
authors.lastname: Ramirez-Troche
authors.affiliation: 1 Instituto Medico La Floresta, Centro de Cirugía Robótica Mínimamente Invasiva (CIMI) , Caracas, Venezuela .
authors.forename: Luis
authors.initials: L
authors.lastname: Medina Navarro
authors.affiliation: 1 Instituto Medico La Floresta, Centro de Cirugía Robótica Mínimamente Invasiva (CIMI) , Caracas, Venezuela .
authors.forename: Luis Cesar
authors.initials: LC
authors.lastname: Hernández
authors.affiliation: 1 Instituto Medico La Floresta, Centro de Cirugía Robótica Mínimamente Invasiva (CIMI) , Caracas, Venezuela .
authors.forename: Luciano
authors.initials: L
authors.lastname: Nuñez Bragayrac
authors.affiliation: 1 Instituto Medico La Floresta, Centro de Cirugía Robótica Mínimamente Invasiva (CIMI) , Caracas, Venezuela .|3 USC Institute of Urology, Keck School of Medicine, University of Southern California , Los Angeles, California.
authors.forename: René Javier
authors.initials: RJ
authors.lastname: Sotelo Noguera
mesh_terms: D000230:Adenocarcinoma / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology*; D000368:Aged; D015897:Comorbidity; D007172:Erectile Dysfunction / Q000453:epidemiology*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D011183:Postoperative Complications / Q000453:epidemiology*; D011446:Prospective Studies; D017430:Prostate-Specific Antigen / Q000097:blood; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000097:blood / Q000453:epidemiology / Q000601:surgery*; D011471:Prostatic Neoplasms / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology*; D016896:Treatment Outcome
chemical_list: D017430:Prostate-Specific Antigen