Title

Critical review of 'pentafecta' outcomes after robot-assisted laparoscopic prostatectomy in high-volume centres

Authors

Authors

V. R. Patel; H. M. Abdul-Muhsin; O. Schatloff; R. F. Coelho; R. Valero; Y. H. Ko; A. Sivaraman; K. J. Palmer;S. Chauhan

Comments

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Abbreviated Journal Title

BJU Int.

Keywords

pentafecta; prostatectomy; outcomes; robot-assisted; POSITIVE SURGICAL MARGINS; VATTIKUTI-INSTITUTE PROSTATECTOMY; SPARING; RADICAL PROSTATECTOMY; RANDOMIZED CONTROLLED-TRIAL; CANCER CONTROL; CONTINENCE OUTCOMES; ONCOLOGIC OUTCOMES; SINGLE-INSTITUTION; FREE; SURVIVAL; FOLLOW-UP; Urology & Nephrology

Abstract

Historically, the ideal outcome of radical prostatectomy (RP) has been measured by achievement of the so-called 'trifecta', or the concurrent attainment of continence and potency with no evidence of biochemical recurrence. However, in the PSA era, younger and healthier men are more frequently diagnosed with prostate cancer. Such patients have higher expectations from the advanced minimally invasive surgical technologies. Mere trifecta is no longer an ideal outcome measure to meet the demands of such patients. Keeping the limitations of trifecta in mind, we have earlier proposed a new method of outcomes analysis, called the 'pentafecta',which adds early complications and positive surgical margins (PSMs) to trifecta. We performed a Medline search for articles reporting the complications, PSM rates, continence, potency and biochemical recurrence after robot-assisted RP. Related articles were selected and individual outcomes were reviewed.

Journal Title

Bju International

Volume

108

Issue/Number

6B

Publication Date

1-1-2011

Document Type

Article

Language

English

First Page

1007

Last Page

1017

WOS Identifier

WOS:000295535200012

ISSN

1464-4096

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