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Comparative outcomes of antegrade open radical prostatectomy with electrosurgical devices versus retrograde technique without devices (p.442-7)

Comparative outcomes of antegrade open radical prostatectomy with electrosurgical devices versus retrograde technique without devices (p.442-7)

Yuksel Yilmaz1, Osman Kose1, Ertan Can2, Serkan Ozcan1, Sacit Nuri Gorgel1, Yigit Akin1, Batuhan Ergani2,
Ahmet Selcuk Dindar1
1Izmir Katip Celebi University, Faculty of Medicine, Department of Urology, Izmir, Turkey
2Tepecik Education and Research Hospital, Clinic of Urology, Izmir, Turkey
Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Aim: In this study we compared outcome of antegrade and retrograde radical prostatectomy with new homeostasis devices.
Material and Methods: Present study includes retrograde view of prospective recorded data between January 2006 and January 2016 in two different centers.The antegrade technique was applied to 67 cases with the Thunderbeat and the retrograde technique was performed as described by Reiner and Walsh before include with early division of the urethra.Demographic data,operative data (tPSA, ISUP, DM, etc.) and post-operative data (transfusion, hospitalization, surgical margin positivity, stenosis, etc.) were evaluated.
Results: There was no difference in terms of demographic status.Incontinence resolved in 29patients in the antegrade group(%43) and resolved in 32patients in the retrograde group(%64) (p=0.012). Erectile dysfunction was observed in 28 patients in the first group(41%) and in 18 patients in the second group(36%) (p=0,359).There was a statistical difference in terms of surgical margin positivity in favor of the antegrade group for these results(p=0.003). Transfusion was required by 11 patients (16%) with the antegrade technique and in 9 patients (18%) with the retrograde technique (p=0.055).There was no difference in terms of anastomosis stenosis and operation duration (p=0.357 and p=0.108).
Conclusion: In our study,the antegrade method was shown to be an easier method with less hemorrhage,more reliable preservation of the neurovascular bundle and adding Thunderbeat to the procedure was found to add to the ease of surgery.

Keywords: Radical prostatectomy; surgical equipment; antegrade; retrograde

 

 

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doi: 10.5455/annalsmedres.2019.10.635

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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