CUA 2018: Risk Factors for Deviation of Preoperative Planned Neurovascular Bundle Preservation During Robotic Radical Prostatectomy
Halifax, Nova Scotia (UroToday.com) Currently, with more than 85% of radical prostatectomies being performed robotically, robotic-assisted radical prostatectomy (RARP) has largely replaced the open and laparoscopic approaches and has become the standard of care surgical treatment option for localized prostate cancer in the United States. Accomplishing negative surgical margins while preserving functional outcomes of sexual function and continence play a significant role in determining the success of surgical intervention, particularly since the advent of nerve-sparing (NS) robotic prostatectomy.
CUA 2018: Incorporating Measures of Patient Safety into Technical Skill Assessments in Robotic Assisted Radical Prostatectomy
Halifax, Nova Scotia (UroToday.com) Recently, the emergence of surgical skill assessment has drastically influenced patient care within urological practice. However, common skill assessments have often focused on measuring technical ability alone, as intraoperative error and technical events have not been utilized in these evaluations. Alaina Garbens, MD, of the University of Toronto believed that these particular metrics may have predictive properties when evaluating surgical skills for robot-assisted radical prostatectomy (RARP). In this particular study, Dr. Garbens hoped to elucidate the urologic community on the distribution of errors and events in RARP, the association between performance scores and safety metrics, and the relationship between safety metrics and outcomes.
CUA 2018: Quantifying the “Assistant Effect” in Robotic-Assisted Radical Prostatectomy: Measures of Technical Performance
Halifax, Nova Scotia (UroToday.com) While robotic-assisted surgery provides improvements over open and laparoscopic surgeries and several other advantages, it imparts several technical challenges to the surgeon. Namely, this approach requires an additional assistant to complete the important technical steps of the procedure. Surgeon's learning curve with robotic surgery of the prostate and kidney has been extensively been evaluated and reported. However, the role of the assistant and his technical skills on a surgeon’s performance has never been studied.
CUA 2018: Functional Outcomes And Post-Operative Complications In Elderly Patients Undergoing Robotic-Assisted Radical Prostatectomy
Halifax, Nova Scotia (UroToday.com) Robotic-assisted radical prostatectomy (RARP), though extremely beneficial for oncological treatment, is known for producing postoperative complications such as urinary incontinence and impotence. These morbidities have the innate ability of significantly lowering quality of life in men who receive this treatment modality. At the University of Montreal, Kevin Zorn, MD, and his team of clinical urologists set out to determine the functional and perioperative outcomes as well as postoperative complications in elderly patients following RARP for prostate cancer.
CUA 2018: Impact Of The Rocco Stitch On Early Return To Continence Following Robot-Assisted Radical Prostatectomy: Results Of A Prospective, Longitudinal, Randomized Controlled Trial
Halifax, Nova Scotia (UroToday.com) It is extremely well known in the urologic field that prostate cancer is one of the most detrimental cancers that affect males worldwide. One of the most common treatments for this particular disease, robot-assisted radical prostatectomy (RARP), is particularly effective as a cancer management modality, but it is linked with certain postoperative complications such as urinary incontinence (UI). UI has been characterized as having a significant negative impact on patient-reported, health-related quality of life. It has been previously shown that UI is caused by the insufficiency of the urethral sphincter’s structural integrity, which is greatly reduced following RARP. Currently, there have been several surgical techniques described for urethrovesical anastomosis (UVA) following ablation of the prostate. One of the more popular techniques, the posterior reconstruction of the Denonvilliers’ musculofascial plate, often known as the “Rocco stitch”, has received mixed reviews from practicing urologists on the effect of urinary continence rates.
CUA 2018: An Educational Intervention for Androgen Deprivation Therapy Patients: Dyadic Adjustment and Intimacy Outcomes
Halifax, Nova Scotia (UroToday.com) Richard Wassersug, MD, presented their study assessing the impact of an educational intervention for patients treated with androgen deprivation therapy (ADT). It is known that adjustment to ADT can have a negative impact on patient’s quality of life and on couples’ relationships. A pilot of a couples-based intervention for patients on ADT demonstrated improved dyadic adjustment and relational intimacy for patients in the treatment group and declines for patients in the control group. Despite the intervention, partners experiences attenuated declines in dyadic adjustment and declines in relational intimacy.
CUA 2018: Validation of the 2015 Prostate Cancer Gleason Grade Groups for Predicting Cancer Control Outcomes after Radical Prostatectomy
Halifax, Nova Scotia (UroToday.com) In this retrospective analysis, the authors examined the utility of the Gleason grade groups (GGG) (1-5), correlation to Gleason scores of 6, 7(3+4), 7(4+3), 8, and >8, respectively. This was performed on the GGG of radical prostatectomies (RP).