A subset of patients with suspicious prostate cancer raises concern about the possible presence of malignant disease, and those men also suffered lower urinary tract symptoms and anxiety of elevated prostate-specific antigen (PSA) [4-5]. We have been learned from our patients and patients’ families, including patients themselves are doctors that they encourage us to carry out prophylactic robotic-assisted laparoscopic radical prostatectomy (P-RARP) for them due to high suspicion of prostate cancer. We performed 1.3 case/month (55 case in 42 months) from Feb. 2012 to July 2015, currently 5.8 case/month (70 case in 13 months) from Aug. 2015 to Sep. 2016. Our publication on journal of anti-cancer research, it concluded prophylactic RARP with bilateral neurovascular bundle preservation is safe for patients with suspicion of prostate cancer when performed by experienced surgeons . Postoperatively, P-RARP improves urinary function, quality of life and free of patient’s anxiety . Moreover, at 12-month followup after P-RARP for sex function at 36 preoperative potent patients, we used the International Index of Erectile Function (IIEF) scale, preoperatively and postoperatively. Postoperatively, potency (i.e. an erection sufficient for intercourse) was achieved 88.9% (32/36) with (N=9) or without (N=27) phosphodiesterase type-5 (PDE5) inhibitors.
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Written by: Yen-Chuan Ou MD, PhD
Department of Medical Research; Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan; School of Medicine, National Yang-Ming University, Taipei, Taiwan
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