The effect of Single-port Transvesical Laparoscopic Radical Prostatectomy (RP) on erectile function and urinary continence compared to Intrafascial Endoscopic Extraperitoneal RP.

To compare the erectile function and urinary continence of patients after single-port transvesical laparoscopic radical prostatectomy (STLRP) with intrafascial endoscopic extraperitoneal radical prostatectomy (IEERP).

Patients treated with STLRP (35) or IEERP (52) were recruited from September 2013 to June 2017. At baseline preoperatively and 2-year follow-up postoperatively, sex and continence assessments were performed by International Index of Erectile Function-6 (IIEF-6) and daily pads, respectively.

The sexual function at 3 months after RP declined obviously. 71.4% (STLRP) and 38.5% (IEERP) patients recovered potency at 6 months postoperatively (P < .01). 82.9% (STLRP) and 59.6% (IEERP) patients recovered potency at 2 years postoperatively (P < .05). 97.1% (STLRP) and 75.0% (IEERP) patients recovered continence (0 pad/day) at 3 months postoperatively (P < .01). Continence achieved 100.0% at 2 years after RP in both groups.

Patients receiving STLRP may obtain better and faster postoperative functional recovery than the ones receiving IEERP. As an exploratory research, STLRP may be another effective treatment for organ-confined prostate cancer.

Urology journal. 2020 Oct 01 [Epub ahead of print]

Yi Yang, Guoliang Hou, Hongbing Mei, Xintao Zhang, Xiaohong Han, Jun Pang, Xin Gao

Department of Urology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518039, China.. ., Department of Urology, Foshan First Municipal People's Hospital, Foshan, China.. ., Department of Urology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518039, China. ., Department of Urology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518039, China. ., Department of Urology, Shenzhen Second People's Hospital, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518039, China. ., Department of Urology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China. ., Department of Urology, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. .