title: Patient reported functional outcomes following robotic-assisted (RARP), laparoscopic (LRP), and open radical prostatectomies (ORP).
abstract: BACKGROUND
  Radical prostatectomy for prostate cancer is associated with significant complications, such as urinary incontinence and erectile dysfunction. Debate remains regarding the influence of surgical technique on these important functional outcomes.
  
  
  OBJECTIVE
  The aim of this study was to compare the early functional outcomes following robotic-assisted (RARP), laparoscopic (LRP), and open radical prostatectomy (ORP) in a rapid access cohort.
  
  
  METHODS
  A retrospective review of a prospectively maintained database was performed between 2011 and 2014. Functional status was objectively assessed using the International Prostate Symptom Score (IPSS), International Index of Erectile Function (IIEF-5), and a self-reported continence score.
  
  
  RESULTS
  Two hundred and ninety-two patients underwent RP (85 RARP, 100 LRP, 107 ORP). The mean age was 61.3 years with a mean initial PSA was 6.2 ng/ml. There was no difference noted in urinary function between ORP, LRP, and RARP at 3 months (p = 0.894), 6 months (p = 0.244), 9 months (p = 0.068) or 12 months (p = 0.154). All men noted a deterioration in erectile function; however, there was no difference at 3 months (p = 0.922), 6 months (p = 0.723), 9 months (p = 0.101) or 12 months (p = 0.395), CONCLUSION: Equivalent good early functional outcomes are being achieved in patients undergoing RP irrespective of surgical approach. Longer follow-up in a prospective randomized fashion is required to fully assess the most appropriate surgical technique.
authors: Department of Urology, Beaumont Hospital, Dublin 9, Ireland. nasong@tcd.ie.
authors: G J
authors: GJ
authors: Nason
authors: Department of Urology, Beaumont Hospital, Dublin 9, Ireland.
authors: F
authors: F
authors: O'Kelly
authors: Department of Urology, Beaumont Hospital, Dublin 9, Ireland.
authors: S
authors: S
authors: White
authors: Department of Urology, Beaumont Hospital, Dublin 9, Ireland.
authors: E
authors: E
authors: Dunne
authors: Department of Urology, Beaumont Hospital, Dublin 9, Ireland.|Department of Urology, Mater Private Hospital, Dublin 7, Ireland.
authors: G P
authors: GP
authors: Smyth
authors: Department of Urology, Beaumont Hospital, Dublin 9, Ireland.|Department of Urology, Mater Private Hospital, Dublin 7, Ireland.
authors: R E
authors: RE
authors: Power
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D000071066:Patient Reported Outcome Measures; D011446:Prospective Studies; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome
keywords: Erectile dysfunction; Functional outcomes; Prostate cancer; Radical prostatectomy; Urinary incontinence