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

    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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