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- Title
Urinary and Sexual Function Outcomes among Different Age Groups after Robot-Assisted Laparoscopic Prostatectomy.
- Authors
Frederick P. Mendiola; Kevin C. Zorn; Albert A. Mikhail; Shang Lin; Marcelo A. Orvieto; Gregory P. Zagaja; Arieh L. Shalhav
- Abstract
PurposeWe present an age-stratified prospective assessment of urinary and sexual function of 300 patients after robot-assisted laparoscopic prostatectomy (RALP).Materials and MethodsSubjective assessment data of continence and potency were collected for different age groups (<50, 5059, and 60 years old) preoperatively, and at 1, 3, 6, and 12 months after RALP. Health-related quality of life questionnaires evaluated return of baseline urinary and sexual function at the same time intervals.ResultsThe three age groups included 21, 129, and 150 patients (aged <50, 5059, and >60 years old, respectively). Using Kaplan-Meier curves, younger men achieved subjective continence significantly earlier than older age groups when age groups were compared using a 60-year-old cut-off point (P0.02). However, subjective continence was noted to be equal among all age groups after 1 year of follow-up. Time to recovery of subjective potency among age groups shows a significant difference in favor of the younger age group (P0.01) Objective urinary function is equal between age groups at all time points, while objective sexual function assessment showed a trend toward better results in the younger age group.ConclusionsYounger men will likely have an earlier return of continence and potency compared to older men after RALP. However, continence outcomes were noted to be equal among age groups after I year of follow-up, while younger men continue to report superior potency outcomes compared to older men over the first postoperative year. Such findings are valuable in counseling older men undergoing this procedure.
- Subjects
AGE distribution; PROSTATE surgery; BASIC needs; HEALTH of older people
- Publication
Journal of Endourology, 2008, Vol 22, Issue 3, p519
- ISSN
0892-7790
- Publication type
Article
- DOI
10.1089/end.2006.9845