Abstract
Background: To assess the functional, oncological and population-based surveillance of complications within 90 days following extraperitoneal laparoscopic prostatectomy (ELRP).
Methods: 200 consecutive men who underwent ELPR at a teaching hospital between 2010 and 2015 were prospectively followed up using validated electronic record-linkage methodology across community and tertiary settings. Data collected included demographic, perioperative, post- operative, complications, quality assurance, and follow-up on functional and oncological outcomes using standardized self-administered questionnaires and third party assessment.
Results: Mean operating time was 240 minutes 8 men had post-operative complications, 3 patients developed bladder neck strictures, 2 men of them had surgical clips migrated into anastomosis. 72 had positive surgical margins (49 with pT3a or more) and of which 21 men had biochemical relapse and required adjuvant treatment. Biochemical recurrence-free survival rate was 96.8% at 12 months. Record-linkage methodology showed 18 patients had re-admissions within 90 days of the procedure for various indications including urinary infection, haematuria, urinary leakage and pelvic collections. 14 of these men required percutaneous drainage and hospital stay following re- admissions ranged between 3-12 days. 22 men reported to primary care physicians for various indications. 91.5% of men were continent and 40.6% of those with nerve preservation surgery were potent at 12 months.
Conclusion: The study reports comparable functional and oncological outcomes, but first to detail community-population based complications post ELRP. One in ten men needed community physician/healthcare referral for procedure related problems. Community based surveillance of complications should be part of assessment when planning early discharge from the hospital.
Methods: 200 consecutive men who underwent ELPR at a teaching hospital between 2010 and 2015 were prospectively followed up using validated electronic record-linkage methodology across community and tertiary settings. Data collected included demographic, perioperative, post- operative, complications, quality assurance, and follow-up on functional and oncological outcomes using standardized self-administered questionnaires and third party assessment.
Results: Mean operating time was 240 minutes 8 men had post-operative complications, 3 patients developed bladder neck strictures, 2 men of them had surgical clips migrated into anastomosis. 72 had positive surgical margins (49 with pT3a or more) and of which 21 men had biochemical relapse and required adjuvant treatment. Biochemical recurrence-free survival rate was 96.8% at 12 months. Record-linkage methodology showed 18 patients had re-admissions within 90 days of the procedure for various indications including urinary infection, haematuria, urinary leakage and pelvic collections. 14 of these men required percutaneous drainage and hospital stay following re- admissions ranged between 3-12 days. 22 men reported to primary care physicians for various indications. 91.5% of men were continent and 40.6% of those with nerve preservation surgery were potent at 12 months.
Conclusion: The study reports comparable functional and oncological outcomes, but first to detail community-population based complications post ELRP. One in ten men needed community physician/healthcare referral for procedure related problems. Community based surveillance of complications should be part of assessment when planning early discharge from the hospital.
| Original language | English |
|---|---|
| Pages | 1-1 |
| Number of pages | 1 |
| Publication status | Published - 2015 |
| Event | 33rd World Congress of Endourology and SWL (WCE 2015) - London, London, United Kingdom Duration: 1 Oct 2015 → 4 Oct 2015 |
Conference
| Conference | 33rd World Congress of Endourology and SWL (WCE 2015) |
|---|---|
| Abbreviated title | WCE 2015 |
| Country/Territory | United Kingdom |
| City | London |
| Period | 1/10/15 → 4/10/15 |