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• W1984577236 abstract "No AccessJournal of UrologyAdult Urology1 Sep 2009A Prospective Study of Symptom Distress and Return to Baseline Function After Open Versus Laparoscopic Radical Prostatectomy Douglas M. Dahl, Michael J. Barry, Francis J. McGovern, Yuchaio Chang, Elizabeth Walker-Corkery, and W. Scott McDougal Douglas M. DahlDouglas M. Dahl Equal study contribution. More articles by this author , Michael J. BarryMichael J. Barry Equal study contribution. Financial interest and/or other relationship with Foundation for Informed Medical Decision-Making. More articles by this author , Francis J. McGovernFrancis J. McGovern More articles by this author , Yuchaio ChangYuchaio Chang More articles by this author , Elizabeth Walker-CorkeryElizabeth Walker-Corkery More articles by this author , and W. Scott McDougalW. Scott McDougal More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2009.05.044AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We assessed and compared outcomes following open and laparoscopic radical prostatectomy. Materials and Methods: Patients who were scheduled to undergo open or laparoscopic radical prostatectomy were enrolled in the study and followed prospectively. Before surgery the patients were administered a multi-item validated questionnaire, and were followed by telephone and with mail questionnaires periodically for 12 months. Complications were recorded from chart review and compared. Symptom distress and return to baseline for various parameters were compared between the 2 groups. Results: Of the patients 102 who underwent open prostatectomy and 104 treated with laparoscopic prostatectomy were enrolled in the study. At 1 year 90% in the open and 91% in the laparoscopic group returned the questionnaire. Symptom distress between the 2 groups did not differ at any time during followup. There was no significant difference in return to baseline at 1 year for continence, erectile function or physical function. Of the patients 95% had a return to baseline physical function, approximately 90% do not wear a pad and approximately 50% returned to baseline erectile function with or without phosphodiesterase type 5 inhibitors at 1 year. Although complications were few there was a significant difference in the number for laparoscopic vs open prostatectomy with a slightly higher rate of hematuria and lymphocele formation in the laparoscopic group. Cancer control at 1 year was excellent in both groups. Conclusions: Radical prostatectomy is an effective form of therapy for patients with clinically localized cancer of the prostate. The open and laparoscopic techniques have similar functional outcomes, and these data provide patients a realistic view of what to expect following these 2 methods of radical prostatectomy. References 1 : Variations in morbidity after radical prostatectomy. N Engl J Med2002; 346: 1138. Google Scholar 2 : Five-year outcomes after prostatectomy or radiotherapy for prostate cancer: the prostate cancer outcomes study. J Natl Cancer Inst2004; 96: 1358. Google Scholar 3 : Perioperative complications of laparoscopic radical prostatectomy: the Montsouris 3-year experience. J Urol2002; 167: 51. Link, Google Scholar 4 : Laparoscopic radical prostatectomy: the Montsouris experience. J Urol2000; 163: 418. Link, Google Scholar 5 : Multi-institutional study of complications in 1085 laparoscopic urologic procedures. Urology2001; 58: 899. Google Scholar 6 : Outcomes of retropubic, laparoscopic, and robotic-assisted prostatectomy. Urology2008; 72: 412. 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Google Scholar 14 : Incidence of urethral stricture after primary treatment for prostate cancer: data from CaPSURE. J Urol2007; 178: 529. Link, Google Scholar 15 : Intraoperative and postoperative complications of radical retropubic prostatectomy in a consecutive series of 1,000 cases. J Urol2001; 166: 1729. Link, Google Scholar 16 : Laparoscopic radical prostatectomy: contemporary comparison with open surgery. Urol Oncol2007; 25: 499. Google Scholar 17 : A direct comparison of robotic assisted versus pure laparoscopic radical prostatectomy: a single institution experience. J Urol2007; 178: 478. Link, Google Scholar 18 : Pathologic outcome of laparoscopic and open radical prostatectomy. Urology2006; 68: 1253. Google Scholar 19 : Erectile function outcome reporting after clinically localized prostate cancer treatment. J Urol2007; 178: 597. Link, Google Scholar 20 : Prospective health-related quality-of-life assessment in an initial cohort of patients undergoing robotic radical prostatectomy. Urology2006; 68: 1061. Google Scholar Departments of Urology and Medicine, Massachusetts General Hospital and the Harvard Medical School, Boston, Massachusetts© 2009 by American Urological AssociationFiguresReferencesRelatedDetails Volume 182Issue 3September 2009Page: 956-966 Advertisement Copyright & Permissions© 2009 by American Urological AssociationKeywordslaparoscopyprostatectomyprostatic neoplasmsMetricsAuthor Information Douglas M. Dahl Equal study contribution. More articles by this author Michael J. Barry Equal study contribution. Financial interest and/or other relationship with Foundation for Informed Medical Decision-Making. More articles by this author Francis J. McGovern More articles by this author Yuchaio Chang More articles by this author Elizabeth Walker-Corkery More articles by this author W. Scott McDougal More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W1984577236 title "A Prospective Study of Symptom Distress and Return to Baseline Function After Open Versus Laparoscopic Radical Prostatectomy" @default.
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