TY  - JOUR
T1  - How does previous transurethral resection of the prostate affect the results of robotic radical prostatectomy?
TT  - Transüretral prostat rezeksiyonu geçirmiş olmak robotik radikal prostatektomi sonuçlarını nasıl etkiler?
AU  - Keske, Murat
AU  - Canda, Abdullah Erdem
AU  - Atmaca, Ali Fuat
AU  - Hamidi, Nurullah
AU  - Balbay, Mevlana Derya
PY  - 2019
DA  - June
DO  - 10.33719/yud.582509
JF  - Yeni Üroloji Dergisi
JO  - New J Urol.
PB  - Ali İhsan TAŞÇI
WT  - DergiPark
SN  - 1305-2489
SP  - 91
EP  - 98
VL  - 14
IS  - 2
LA  - en
AB  - Objective: We investigated the impact of transurethral resection of the prostate (TUR-P) on perioperative outcomes in patients who underwent robot assisted radical prostatectomy (RARP).Material and Methods: A total of 752 cases performed by 3 surgeons between February 2009 andDecember 2017 were reviewed retrospectively. First100 cases of each surgeon were not included to exclude the learning curve effect. All patients (n = 452)were divided into two groups according to having aprevious TUR-P history as Group 1 = patients withTUR-P history (n = 38), Group 2 = patients withoutTUR-P history (n = 414).Results: Mean patient age was 68.3± 5.9 versus63.3±6.8 years p=0.00; mean console time was144.3±37.1 versus 124.6±24.0 minutes, p=0.02; bladderneck reconstruction was 31.6% versus 16.7%,p=0.02; transurethral catheter removal time was11.3±5.1 versus 8.6±2.7 days, p=0.00; for groups 1and 2, respectively. Positive surgical margin rateswere 26.3% versus 27.3%, p=0.897; erectile function(IIEF≥17) rates on postoperative 12th-monthwere 60% versus 67%, p=0.644 for groups 1 and 2,respectively. First 3 months continence rates were52.6% versus 72%, p=0.035 for groups 1 and group2, respectively. Postoperative 12. month continencerates were similar for group 1 and 2(94.7% vs 97.3%; p=0.562).Conclusion: RARP after TUR-P has similaroncological outcomes, longer operative time, worsepostoperative early continence acquisition rates and longer urethral catheter removal time.
KW  - Robotic prostatectomy
KW  - Prostate cancer
KW  - TUR-P
N2  - Giriş:Bu çalışmada robot yardımlı radikal prostatektomi (RYRP) yapılan hastalardageçirilmiş transüretral prostat rezeksiyonu (TUR-P) cerrahisinin perioperatifsonuçlar üzerine etkisi araştırılmıştır.Materyal ve Metod:Şubat 2009-Aralık 2017 arasında 3 cerrah tarafından gerçekleştirilen toplam 752vakanın verileri retrospektif olarak incelendi. Her bir cerrahın ilk 100 vakasıöğrenme eğrisi nedeniyle çalışma dışı bırakıldı. Tüm hastalar (n=452) RYRPöncesinde TUR-P öyküsü olup olmamasına göre iki gruba ayrıldı. Grup 1=TUR-Pöyküsü olanlar (n=38), Grup 2=TUR-P öyküsü olmayanlar, (n=414). Bulgular:Sırasıyla grup 1 ve 2’de ortalama hasta yaşı 68.3± 5.9 ve 63.3±6.8 yıl p=0.00; ortalama konsolsüresi 144.3±37.1ve 124.6±24.0dakika, p=0.02; mesane boynu rekonstrüksiyon gereksinim oranı %31.6 ve %16.7, p=0.02; ortalama transüretralkateter kalış süresi 11.3±5.1ve 8.6±2.7gün, p=0.00 saptanmıştır. Sırasıyla grup 1 ve 2’de, pozitif cerrahi sınır, grup 1’de %26.3, grup 2’de %27.3, p=0.897 ve erektilfonksiyon oranları (IIEF≥17)(postoperatif 12. ay grup 1’de %60, grup 2’de %67, p=0.644) benzer saptanmıştır.Erken dönemde (3. ay) kontinans oranları grup 1 ve grup 2 de sırasıyla %52.6 ve %72 olarak bulunmuştur (p=0.035). 12.ay sonunda kontinans oranları açısından iki grupta %94.7 ve %97.3 olarak birbirinebenzer sonuçlar elde edilmiştir (p=0.562). Sonuç:TUR-P sonrası RYRP ameliyatı yapılması, TUR-P geçirmeyen hastalara göre benzeronkolojik sonuçları olan, daha uzun ameliyat süresi olan, postoperatif erkenkontinans kazanılması oranları daha az olan ve daha uzun süre idrar sondasıtakılması gerektiren bir ameliyattır.
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UR  - https://doi.org/10.33719/yud.582509
L1  - https://dergipark.org.tr/en/download/article-file/807317
ER  -