Outcomes of robotic-assisted radical prostatectomy for patients in two extreme age-groups (< 50 years vs > 65 years)
Autor: | Gabriela Bud, Ioan Coman, Radu Tudor Coman, Nicolae Crisan, Deliu Victor Matei, Ottavio De Cobelli, Iulia Andras, I S Bocşan |
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Rok vydání: | 2018 |
Předmět: |
Biochemical recurrence
medicine.medical_specialty prostatectomy Robotic assisted business.industry Prostatectomy Urology Pathological staging medicine.medical_treatment General Medicine prostate cancer medicine.disease Surgery Prostate cancer Older patients Age groups Internal medicine robotic surgical procedures medicine Potency erectile function business Original Research |
Zdroj: | Clujul Medical |
ISSN: | 2668-0572 2602-0807 |
Popis: | Background and aims. To assess the outcomes of robotic radical prostatectomy in two different age subgroups of pre-operatively potent patients: younger than 50 years and older than 65 years.Methods. We included in the present study a number of 202 patients with prostate cancer divided into two groups: 99 patients older than 65 years (group 1) and 103 patients younger than 50 years (group 2).Results. More than half of the younger patients were low-risk vs 57% of the older patients who were high-risk. Overall positive surgical margins rate was 21.2% in group 1 vs 12.1% in group 2. The early biochemical recurrence at 6 months after radical prostatectomy was 4% in group 1 vs 11.6% in group 2. The continence rate at 6 months was similar between the two groups and was not correlated with the patients’ age (p=0.72), nerve-sparing (p=0.3 for group 1, p=0.92 for group 2) or pathological staging (overall p=0.81, p=0.89 in group 1 and p=0.63 in group 2). We observed a significantly higher rate of potency for patients in group 2 (91.5% vs 47.2%, p |
Databáze: | OpenAIRE |
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