We compared the outcomes, advantages, and disadvantages of retropubic and perineal approaches to radical prostatectomy for prostate cancer. From 1990 to 2000, 37 patients (average age: 66.6 years) who underwent radical retropubic prostatectomy (RRP) and 30 patients (average age: 70.1 years) who underwent radical perineal prostatectomy (RPP) were identified from the database of our department. O...

BACKGROUND AND OBJECTIVES We sought to provide informed recommendations on transitioning from laparoscopic radical prostatectomy (LRP) to robotic-assisted radical prostatectomy (RAP) through a study of the da Vinci robot. METHODS We performed a cost-benefit analysis to determine the impact that purchasing a dollars 1.5 million da Vinci robot with a dollars 112,000 service contract per year an...

PURPOSE Robot-assisted surgery has been rapidly adopted in the U.S. for prostate cancer. Its adoption has been driven by market forces and patient preference, and debate continues regarding whether it offers improved outcomes to justify the higher cost relative to open surgery. We examined the comparative effectiveness of robot-assisted vs open radical prostatectomy in cancer control and surviv...

OBJECTIVE This report depicts the feasibility of the concomitant repair of a large direct inguinal hernia with mesh by using the intraperitoneal onlay approach after extraperitoneal laparoscopic radical prostatectomy. METHODS A 66-year-old man with localized adenocarcinoma of the prostate was referred for laparoscopic radical prostatectomy. The patient also had a 4-cm right, direct inguinal h...

INTRODUCTION Radical prostatectomy results in greater persistence of urinary and sexual dysfunction (and to a minor degree, bowel dysfunction) than other forms of prostate cancer treatment. These physical side effects create bother, which is the degree of annoyance, dysfunction, or discomfort associated with treatment aftermath. OBJECTIVE The purpose of this study was to assess the relationsh...

INTRODUCTION Open prostatectomy is the conventional surgical treatment of benign prostatic hyperplasia. The major early complication of this procedure is bleeding. We introduce a technique of prostatectomy in order to prevent significant bleeding, reduce morbidity, and shorten convalescence and hospital stay periods. MATERIALS AND METHODS We enrolled 202 consecutive patients diagnosed with be...

Prostate cancer is the most commonly diagnosed cancer and the second leading cause of cancer-related deaths in men in the US [Parker et al., 1997]. In the Prostate Specific Antigen (PSA) era, minimally invasive and nerve-sparing radical surgery for prostate cancer, e.g., conventional and robot-associated laparoscopic prostatectomy, is widely performed throughout the country. Robotic prostatecto...

BACKGROUND The incidence of erectile dysfunction (ED) and sexual problems after radical prostatectomy has differed greatly in reports from different centers and countries; however, few studies have taken baseline factors into account. We compared the incidence of ED and sexual problems 2 to 3 years after radical prostatectomy in American, Norwegian, and Spanish men for whom selected clinically ...

Purpose: Urinary incontinence remains the most feared long-term complication following radical prostatectomy with potentially devastating psychosocial consequences. In recent years, several surgical techniques have been introduced during radical prostatectomy, both open and laparoscopic/robotic, in the hope of improving urinary continence outcomes. Herein, we review the various surgical modific...

Post-prostatectomy stress incontinence (PPI) is an important health problem for patients with radical prostatectomy history. Duloxetine a common drug, used in PPI the out of indications most countries. In this study, we aimed to evaluate prophylactic effect duloxetine administration during early postoperative period undergoing laparoscopic (LRP). The retrospective study included 209 who underwe...