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Conference Paper: Recovery of erectile function after robotic-assisted radical prostatectomy: a 7-year experience in Hong Kong

TitleRecovery of erectile function after robotic-assisted radical prostatectomy: a 7-year experience in Hong Kong
Authors
Issue Date2016
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJU
Citation
The 14th Urological Association of Asia Congress (UAA 2016) in conjunction with UROFAIR 2016, Urology Residents' Course 2016, and the 30th Anniversary of the Singapore Urological Association, Singapore, 20-24 July 2016. In International Journal of Urology, 2016, v. 23 suppl. S1, p. 1, abstract no. C-ADRO-1310 How to Cite?
AbstractOBJECTIVES To assess the recovery of erectile function in patients with prostate cancer after robotic-assisted radical prostatectomy (RARP) with different nerve-sparing techniques. METHODS Localized prostate cancer patients with RARP performed between July 1st 2009 and December 31st 2015 were included. All patients were operated by one single surgeon. Patients older than 70 years old were excluded. Demographic data, operative details and progress of erectile function were collected. RESULTS One hundred and seventy patients were identified. The mean pre-operative PSA was 9.42 ng/mL (range 0.25–36.9 ng/mL). Sixty-five percent of patients had RARP with nerve-sparing technique. Among those patients, 70% received bilateral nerve-sparing dissection and the remaining received unilateral nerve-sparing dissection. The penetration rate at post-operative 3 months were 0%, 27.2% and 46.2% in patients received non-nerve sparing, unilateral nerve sparing and bilateral nerve sparing dissection respectively. The penetration rate improved to 4.2%, 50% and 76% respectively at post-operative 12 months. Patients having penile rehabilitation with phosphodiesterase 5 inhibitor had better penetration rate (44.7% vs 12.2%) at postoperative 3 months. CONCLUSION Erectile function improved with time after RARP. Nerve-sparing dissection technique and penile rehabilitation are essential to restore erectile function after RARP.
DescriptionConference Theme: Urological Advancement in Asia
Abstract and Poster Presentation
This free journal suppl. entitled: Special Issue: 14th Urological Association of Asia Congress 2016 Singapore
Persistent Identifierhttp://hdl.handle.net/10722/235198
ISSN
2015 Impact Factor: 1.878
2015 SCImago Journal Rankings: 0.841

 

DC FieldValueLanguage
dc.contributor.authorTsang, CF-
dc.contributor.authorYiu, MK-
dc.contributor.authorNg, ATL-
dc.contributor.authorWong, CKW-
dc.contributor.authorWong, JKW-
dc.date.accessioned2016-10-14T13:51:52Z-
dc.date.available2016-10-14T13:51:52Z-
dc.date.issued2016-
dc.identifier.citationThe 14th Urological Association of Asia Congress (UAA 2016) in conjunction with UROFAIR 2016, Urology Residents' Course 2016, and the 30th Anniversary of the Singapore Urological Association, Singapore, 20-24 July 2016. In International Journal of Urology, 2016, v. 23 suppl. S1, p. 1, abstract no. C-ADRO-1310-
dc.identifier.issn0919-8172-
dc.identifier.urihttp://hdl.handle.net/10722/235198-
dc.descriptionConference Theme: Urological Advancement in Asia-
dc.descriptionAbstract and Poster Presentation-
dc.descriptionThis free journal suppl. entitled: Special Issue: 14th Urological Association of Asia Congress 2016 Singapore-
dc.description.abstractOBJECTIVES To assess the recovery of erectile function in patients with prostate cancer after robotic-assisted radical prostatectomy (RARP) with different nerve-sparing techniques. METHODS Localized prostate cancer patients with RARP performed between July 1st 2009 and December 31st 2015 were included. All patients were operated by one single surgeon. Patients older than 70 years old were excluded. Demographic data, operative details and progress of erectile function were collected. RESULTS One hundred and seventy patients were identified. The mean pre-operative PSA was 9.42 ng/mL (range 0.25–36.9 ng/mL). Sixty-five percent of patients had RARP with nerve-sparing technique. Among those patients, 70% received bilateral nerve-sparing dissection and the remaining received unilateral nerve-sparing dissection. The penetration rate at post-operative 3 months were 0%, 27.2% and 46.2% in patients received non-nerve sparing, unilateral nerve sparing and bilateral nerve sparing dissection respectively. The penetration rate improved to 4.2%, 50% and 76% respectively at post-operative 12 months. Patients having penile rehabilitation with phosphodiesterase 5 inhibitor had better penetration rate (44.7% vs 12.2%) at postoperative 3 months. CONCLUSION Erectile function improved with time after RARP. Nerve-sparing dissection technique and penile rehabilitation are essential to restore erectile function after RARP.-
dc.languageeng-
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJU-
dc.relation.ispartofInternational Journal of Urology-
dc.rightsThe definitive version is available at www.blackwell-synergy.com-
dc.titleRecovery of erectile function after robotic-assisted radical prostatectomy: a 7-year experience in Hong Kong-
dc.typeConference_Paper-
dc.identifier.emailYiu, MK: pmkyiu@hku.hk-
dc.identifier.emailWong, CKW: kwwongab@hku.hk-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1111/iju.13149-
dc.identifier.hkuros270380-
dc.identifier.volume23-
dc.identifier.issuesuppl. S1-
dc.identifier.spage1, abstract no. C-ADRO-1310-
dc.identifier.epage1, abstract no. C-ADRO-1310-
dc.publisher.placeAustralia-

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