Title

Critical Review Of 'Pentafecta' Outcomes After Robot-Assisted Laparoscopic Prostatectomy In High-Volume Centres

Keywords

outcomes; pentafecta; prostatectomy; robot-assisted

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. © 2011 BJU INTERNATIONAL.

Publication Date

9-1-2011

Publication Title

BJU International

Volume

108

Issue

6 B

Number of Pages

1007-1017

Document Type

Review

Personal Identifier

scopus

DOI Link

https://doi.org/10.1111/j.1464-410X.2011.10521.x

Socpus ID

80052841165 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/80052841165

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