title: Improvement of severe baseline lower urinary tract symptoms following robotic-assisted laparoscopic prostatectomy.
abstract: OBJECTIVE
  This study was designed to assess lower urinary tract symptoms (LUTS) following robotic-assisted laparoscopic prostatectomy.
  
  
  METHODS
  In a single surgeon series, 938 patients underwent robotic prostatectomy and completed International Prostate Symptom Score surveys at baseline and 6-month follow-up. Patients preoperative LUTS were categorized as mild, moderate, or severe according to the original International Prostate Symptom Score validation. Patient demographics, in addition to clinical and pathologic outcomes were obtained from an Institutional Review Board-approved database.
  
  
  RESULTS
  Preoperatively, 55.8% of patients presented with mild, 36.4% with moderate, and 7.8% with severe LUTS. Increased prostate size trended with increased LUTS severity (P < 0.001). Patients who had severe preoperative LUTS witnessed a 57% reduction in International Prostate Symptom Score (from 24.1 to 10.7, P < 0.001). Men with moderate preoperative LUTS also witnessed a significant decrease in postoperative LUTS (from 12.1 to 8.3, P < 0.001).
  
  
  CONCLUSIONS
  The majority of patients with moderate or severe LUTS improved significantly following robotic prostatectomy, with the largest improvements seen in the severe group. Prostate cancer patients with severe LUTS should be counseled on the beneficial role of robotic prostatectomy in an effort to improve their voiding dysfunction and as a viable cancer treatment.
authors: Department of Urology, Lenox Hill Hospital, New York, New York.
authors: Seyed Behzad
authors: SB
authors: Jazayeri
authors: Department of Urology, The Mount Sinai Medical Center, New York, New York.
authors: Dov
authors: D
authors: Sebrow
authors: Department of Urology, The Mount Sinai Medical Center, New York, New York.
authors: Hugh
authors: H
authors: Lavery
authors: Department of Urology, The Mount Sinai Medical Center, New York, New York.
authors: Adele
authors: A
authors: Hobbs
authors: Department of Urology, The Mount Sinai Medical Center, New York, New York.
authors: Adam
authors: A
authors: Levinson
authors: Department of Urology, Lenox Hill Hospital, New York, New York.
authors: David B
authors: DB
authors: Samadi
mesh_terms: D000328:Adult; D000368:Aged; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures; D016896:Treatment Outcome
keywords: IPSS; lower urinary tract symptom; prostate cancer; robotic prostatectomy