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C149 Complication rates and continence function: Open versus robot-assisted radical prostatectomy
C149
Complication rates and continence function: Open versus robot-assisted radical prostatectomy Eur Urol Suppl 2013;12;e1257
Novotny V.1, Froehner M.1, Leike S.1, Koch R.2, Wirth M.1 1University
Hospital Dresden, Dept. of Urology, Dresden, Germany, 2University Hospital Dresden, Dept. of Medical Statistics and
Biometry, Dresden, Germany INTRODUCTION & OBJECTIVES: The best technique of radical prostatectomy – open versus robot-assisted approach - is a subject of controversies. MATERIAL & METHODS: Between January 1st, 2006, and June 4th, 2012, 2754 men underwent radical prostatectomy at our department. Among them, 2438 received open and 317 robot-assisted surgery. 2177 men were eligible for continence function evaluation using the International Consultation of Incontinence Questionnaire Male Lower Urinary Tract Symptoms (ICIQ-MLUTS). The complication rates were compared with the chi square or Fisher exact test. The distributions of quantitative variables were compared with U tests. The questionnaire scores were analyzed in linear models of the variance analysis for repeated measures with compound symmetry of the covariance structure. RESULTS: Whereas the demographic and tumor-related factors favored patients selected for robot-assisted radical prostatectomy, no differences were detectable between both techniques concerning length of stay, blood transfusion rates, the incidence of complications and postoperative continence function. CONCLUSIONS: In this study, open and robot-assisted radical prostatectomy had similar complication and continence recovery rates.
Complication rates and continence function: Open versus robot-assisted radical prostatectomy Eur Urol Suppl 2013;12;e1257
Novotny V.1, Froehner M.1, Leike S.1, Koch R.2, Wirth M.1 1University
Hospital Dresden, Dept. of Urology, Dresden, Germany, 2University Hospital Dresden, Dept. of Medical Statistics and
Biometry, Dresden, Germany INTRODUCTION & OBJECTIVES: The best technique of radical prostatectomy – open versus robot-assisted approach - is a subject of controversies. MATERIAL & METHODS: Between January 1st, 2006, and June 4th, 2012, 2754 men underwent radical prostatectomy at our department. Among them, 2438 received open and 317 robot-assisted surgery. 2177 men were eligible for continence function evaluation using the International Consultation of Incontinence Questionnaire Male Lower Urinary Tract Symptoms (ICIQ-MLUTS). The complication rates were compared with the chi square or Fisher exact test. The distributions of quantitative variables were compared with U tests. The questionnaire scores were analyzed in linear models of the variance analysis for repeated measures with compound symmetry of the covariance structure. RESULTS: Whereas the demographic and tumor-related factors favored patients selected for robot-assisted radical prostatectomy, no differences were detectable between both techniques concerning length of stay, blood transfusion rates, the incidence of complications and postoperative continence function. CONCLUSIONS: In this study, open and robot-assisted radical prostatectomy had similar complication and continence recovery rates.