Laparoscopic Radical Prostatectomy of 926 Patients at the Hiroshima Endourological Association

Mita, Koji; Kobatake, Kohei; Kohada, Yuki; Naito, Miki; Fukuoka, Kenichiro; Kohno, Hiroyuki; Hisatome, Yuko; Seno, Yasuyuki; Goto, Keisuke; A, Goriki; Shinmei, Shunsuke; Nagamatsu, Hirotaka; Iwamoto, Hideo; Fukada, Satoshi; Satake, Hirofumi; Shimamoto, Tsutomu; Fukuhara, Hideo; Tamura, Kenji; Ohara, Shuichi; Koda, Shuntaro; Mochizuki, Hidetaka; Katô, Masao; Kadonishi, Yuichi; Mutaguchi, Kazuaki; Shigeta, Masanobu

doi:10.5980/jpnjurol.110.1

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…With the promotion of “Healthy China Action”, residents’ awareness of PCa screening is constantly improving, and early diagnosis and treatment of PCa have become the mainstream trend ( 2 , 3 ). Laparoscopic radical prostatectomy (LRP) is the standard treatment for early localized PCa ( 4 , 5 ), but almost all patients will experience urinary incontinence after catheter removal ( 6 ), with an incidence of 96.7%. The recovery rate fluctuates between 30% and 90% 1 year after surgery ( 7 , 8 ).…”

Section: Introductionmentioning

confidence: 99%

Construction of pelvic floor muscle rehabilitation training program for patients undergoing laparoscopic radical prostatectomy

Ma¹,

Zhang²,

Niu³

et al. 2022

Transl Cancer Res TCR

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Background: Laparoscopic radical prostatectomy (LRP) is the standard treatment for early localized PCa, of which urinary incontinence is the most common postoperative complication. Pelvic floor muscle rehabilitation training is recognized as the first line of intervention measures, but the existing rehabilitation training programs are not clear in the formulation process, the content is not unified, and the clinical operability is not strong. In order to better guide clinical pelvic floor muscle rehabilitation training after LRP and prevent and control urinary incontinence, this study constructed a pelvic floor muscle rehabilitation training program for LRP patients. Methods: Literature analysis, qualitative interview, and an expert group meeting method were used to form the draft of pelvic floor muscle rehabilitation training program for LRP patients. On this basis, after 2 rounds of Delphi expert consultation, the research team modified and improved the program. Results:The consultation experts involved in the 2 rounds were the same, 15 questionnaires were sent out, and 15 were recovered with an effective recovery of 100%. The expert authority coefficient was 0.87. In the second round of consultation, Kendall's harmony coefficient was 0.14 (P<0.001), the mean coefficient of variation of expert opinion was 0.07 (P<0.001), and the mean value of importance assigned to each item was 4.53-5.00 points. Finally, the pelvic floor muscle rehabilitation training program for LRR patients was formed. Including rehabilitation training evaluation, rehabilitation training advanced time and content, rehabilitation training form of three first-level indicators, 12 second-level indicators, 53 third-level indicators. Conclusions: The pelvic floor muscle rehabilitation training program for LRP patients developed in this study is scientific, reliable, safe and feasible, which can provide reference for clinical pelvic floor muscle rehabilitation training after LRP and prevention and control of urinary incontinence.

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Section: Introductionmentioning

confidence: 99%

Construction of pelvic floor muscle rehabilitation training program for patients undergoing laparoscopic radical prostatectomy

Ma¹,

Zhang²,

Niu³

et al. 2022

Transl Cancer Res TCR

View full text Add to dashboard Cite

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Comparative assessment of the learning curve of retropubic, laparoscopic, perineal, and robot-assisted radical prostatectomy

Ryabov

Котов

2022

Vestn. Urol.

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Introduction. The learning curve (LC) of radical prostatectomy (RP) is an actual problem in contemporary urology.Objective. To assess the LC of retropubic (rpRP), perineal (plRP), laparoscopic (LRP), and robot-assisted radical prostatectomy (RARP).Materials and methods. The study included 400 patients with localized or locally advanced prostate cancer (T1cT3bN0M0) who underwent rpRP, plRP, LRP or RARP performed by a single surgeon. Exclusion criteria: refusal of surgical treatment, metastatic prostate cancer, primary multiple cancer, neoadjuvant hormonal, radiation or chemotherapy.Results. Progressive improvement of metric indicators was noted in all groups as the surgical technique was mastered. Maximum rates of reaching the plateau of satisfactory functional and early oncological results were demonstrated in the RARP group after 25 – 50 procedures. In terms of the duration of the surgery, the LRP group showed the longest mastering period of 75 – 100 cases. Regression of blood loss volume requires 50 – 75 procedures in the rpRP and LRP groups, and 25 – 50 approaches in the rpRP and RARP groups. RARP demonstrates advantages in the context of minimization of catheterization time and inpatient period (25 – 50 cases). rpRP is not only associated with a maximum amount (n = 30) and frequency (21,0%) of complications, but also with a relatively long period of reaching a plateau of 50 – 75 cases. The stabilization of functional results is proceeding at the maximum pace in the RARP group at 25 – 50 procedures, in the other groups at 50 – 75 cases. Oncological safety (positive surgical margin) in the LRP, rpRP and RARP groups is achievable after 25 – 50 cases, in the rpRP group at 50 – 75 cases.Conclusion. The period of RP mastering depends on surgical approaches. RARP demonstrates the shortest LC duration.

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Laparoscopic Radical Prostatectomy of 926 Patients at the Hiroshima Endourological Association

Cited by 2 publications

References 15 publications

Construction of pelvic floor muscle rehabilitation training program for patients undergoing laparoscopic radical prostatectomy

Construction of pelvic floor muscle rehabilitation training program for patients undergoing laparoscopic radical prostatectomy

Comparative assessment of the learning curve of retropubic, laparoscopic, perineal, and robot-assisted radical prostatectomy

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