Outpatient Robotic Radical Prostatectomy: Matched-pair Comparison with Inpatient Surgery

PURPOSE - To evaluate our initial experience with outpatient robotic radical prostatectomy (RRP) and prospectively compare outcomes with an inpatient RRP cohort.

MATERIALS AND MEHTODS - We conducted a prospective study on 30 motivated patients consenting for outpatient RRP (2011-2013).

Inclusion criteria comprised age

RESULTS - All outpatient RRP procedures were performed successfully. Twenty-six patients (87%) were discharged the same day of surgery; 4 stayed overnight for various reasons. On comparing outpatient and inpatient cohorts, there were no significant demographic or peri-operative differences, except for shorter hospital stay (14 vs. 44 hours, p<0.01). In both groups, 92% of patients were completely continent (no pads) at 2 months follow-up. Time to complete continence in the outpatient and outpatient cohorts was 32 vs. 43 days (p=0.09). Validated questionnaires revealed both groups were comparable as regards patient/family satisfaction, days of narcotic usage, days to return to work and days to feeling 100% recovered.

CONCLUSIONS - Our initial experience with outpatient RRP is promising. Outpatient RRP is associated with excellent patient satisfaction and functional outcomes comparable to inpatient RRP. Patient motivation and pre-operative counseling are vital for success.

Journal of endourology / Endourological Society. 2016 Mar 31 [Epub ahead of print]

Andre Berger, Sameer Chopra, Inderbir Singh Gill

Cleveland Clinic , 9500 Eucli Ave/ A100 , Cleveland Clinic, Ohio, United States , 44195 ;  USC, Institute of Urology , 1441 Eastlake Avenue , STE 7416 , Los Angeles, California, United States , 90089 ; university of southern california, urology , 1411 Eastlake ave , suite 7416 , los ángeles , California, United States , 90089 ;