Issue of Prostate Gland Size, Laparoscopic Radical Prostatectomy, and Continence Revisited

Paul M. Milhoua, Philip T. Koi, Daniel Lowe, Reza Ghavamian

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objectives: To evaluate the influence of prostate gland size on the perioperative, pathologic, and continence outcomes after laparoscopic radical prostatectomy (LRP). Methods: 144 LRPs for which 18-month continence data were available were performed by a single surgeon, and were retrospectively reviewed. Patients were divided initially into two groups based on final prostate gland size: group 1 (weight less than 50 g) and group 2 (weight 50 g or more). Group 2 patients were stratified into group IIa (weight 50 to 70 g) and Group IIb (weight 70 g or more) to further examine the effect of gland size on continence. Results: Larger glands had higher mean prostate-specific antigen (P <0.05) but among groups there were no significant differences in patient age, Gleason sum, pathological stage, operative time, intraoperative blood loss, or positive margin rate. We noted a significant difference in mean time to recovery of continence for patients with small glands versus large glands: group 1 (8.2 months), group 2 (9.9 months), group IIa (8.5 months), and group IIb (13.8 months) (P <0.05). Conclusions: Prostate gland size had no effect on perioperative outcomes. However, recovery of postoperative continence can be delayed in patients with large prostates.

Original languageEnglish (US)
Pages (from-to)417-420
Number of pages4
JournalUrology
Volume71
Issue number3
DOIs
StatePublished - Mar 2008

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Prostatectomy
Prostate
Weights and Measures
Prostate-Specific Antigen
Operative Time

ASJC Scopus subject areas

  • Urology

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Issue of Prostate Gland Size, Laparoscopic Radical Prostatectomy, and Continence Revisited. / Milhoua, Paul M.; Koi, Philip T.; Lowe, Daniel; Ghavamian, Reza.

In: Urology, Vol. 71, No. 3, 03.2008, p. 417-420.

Research output: Contribution to journalArticle

Milhoua, Paul M. ; Koi, Philip T. ; Lowe, Daniel ; Ghavamian, Reza. / Issue of Prostate Gland Size, Laparoscopic Radical Prostatectomy, and Continence Revisited. In: Urology. 2008 ; Vol. 71, No. 3. pp. 417-420.
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