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 ; 


Newsletter subscription

Free Daily and Weekly newsletters offered by content of interest

The fields of GU Oncology and Urology are rapidly advancing. Sign up today for articles, videos, conference highlights and abstracts from peer-review publications by disease and condition delivered to your inbox and read on the go.