RADICAL RETROPUBIC AND ROBOT-ASSISTED PROSTATECTOMY IN PATIENTS WITH LOCALIZED PROSTATE CANCER: A COMPARATIVE ANALYSIS OF ONCOLOGICAL AND FUNCTIONAL OUTCOMES


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Resumo

Study included 583 patients with localized prostate cancer (PCa) has performed a comparative analysis of the effectiveness of robot- assisted (RA), radical prostatectomy (RPE) and radical retropubic prostatectomy (RRPPE) in terms of achievement of optimal oncological and functional outcomes. The first group consisted of 512 patients who underwent RARPE. The second group consisted of 71 patients who underwent RRPPE. In the RARPE group, median follow-up was 38.9 months (max 63.9), in the RRPPE group - 22.6 months (max 46). The groups were comparable in age, comorbidity, and cancer characteristics. It is emphasized that radical prostatectomy is the gold standard surgical treatment for localized prostate cancer. According to the analysis of the current literature and our own data it should be stated that, regardless of technology - retropubic or RA - RPE provides high performance and satisfactory results in disease-free and cancer-specific survival. On the other hand, the use of RARPE was much more effective in terms of the probability of postoperative continence and erectile function recovery within 12 months after surgery. There were significant differences not only in the overall proportion of patients who achieved a good functional outcome, but in the rate of function recovery.

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Sobre autores

P. Rasner

SBEIHPE MSMSU n.a. A.I. Evdokimov of RMPH

Department of Urology

K. Kolonarev

SBEIHPE MSMSU n.a. A.I. Evdokimov of RMPH

Email: kb80@yandex.ru
Teaching Assistant at the Department of Urology, Faculty of Postgraduate Education

A. Govorov

SBEIHPE MSMSU n.a. A.I. Evdokimov of RMPH

Department of Urology

D. Kotenko

SBEIHPE MSMSU n.a. A.I. Evdokimov of RMPH

Department of Urology

D. Pushkar

SBEIHPE MSMSU n.a. A.I. Evdokimov of RMPH

Department of Urology

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