Potency, continence and complications in 3,477 consecutive radical retropubic prostatectomies

Shilajit D. Kundu, Kimberly A. Roehl, Scott E. Eggener, Jo Ann V Antenor, Misop Han, William J. Catalona

Research output: Contribution to journalArticle

Abstract

Purpose: We report results in a series of 3,477 consecutive patients treated with anatomical nerve sparing radical retropubic prostatectomy (RRP) in terms of recovery of erectile function, urinary continence and postoperative complications. Materials and Methods: From May 1983 through February 2003, 1 surgeon (WJC) performed anatomical RRP using a unilateral or bilateral nerve sparing modification when possible. Urinary continence and recovery of erections were evaluated in men with a minimum followup of 18 months. Excluded from potency analysis were men who were not reliably potent before surgery, those who did not undergo a nerve sparing procedure and those who received postoperative adjuvant radiotherapy or hormonal therapy within 18 months of surgery. Other postoperative complications in this patient population were also evaluated. Results: Erections sufficient for intercourse occurred in 76% of preoperatively potent men treated with bilateral (1,770) and 53% of men treated with unilateral or partial nerve sparing (64) surgery. Adequate erectile function was more common following bilateral than unilateral nerve sparing surgery in men younger than 70 years old (78% versus 53%, p = 0.001) compared with those 70 years old or older (52% versus 56%, p = 0.6). Recovery of urinary continence occurred in 93% of all men and was associated with younger age (p = 0.001) but not nerve sparing surgery, tumor stage, prostate specific antigen (PSA), Gleason grade or number of prior prostatectomies performed by the surgeon. Postoperative complications occurred in 320 (9%) of patients and were associated with older age (p

Original languageEnglish (US)
Pages (from-to)2227-2231
Number of pages5
JournalJournal of Urology
Volume172
Issue number6 I
DOIs
StatePublished - Dec 2004
Externally publishedYes

Fingerprint

Prostatectomy
Adjuvant Radiotherapy
Recovery of Function
Prostate-Specific Antigen
Population
Neoplasms

Keywords

  • Penile erection
  • Prostatectomy
  • Prostatic neoplasms
  • Urinary incontinence

ASJC Scopus subject areas

  • Urology

Cite this

Kundu, S. D., Roehl, K. A., Eggener, S. E., Antenor, J. A. V., Han, M., & Catalona, W. J. (2004). Potency, continence and complications in 3,477 consecutive radical retropubic prostatectomies. Journal of Urology, 172(6 I), 2227-2231. https://doi.org/10.1097/01.ju.0000145222.94455.73

Potency, continence and complications in 3,477 consecutive radical retropubic prostatectomies. / Kundu, Shilajit D.; Roehl, Kimberly A.; Eggener, Scott E.; Antenor, Jo Ann V; Han, Misop; Catalona, William J.

In: Journal of Urology, Vol. 172, No. 6 I, 12.2004, p. 2227-2231.

Research output: Contribution to journalArticle

Kundu, Shilajit D. ; Roehl, Kimberly A. ; Eggener, Scott E. ; Antenor, Jo Ann V ; Han, Misop ; Catalona, William J. / Potency, continence and complications in 3,477 consecutive radical retropubic prostatectomies. In: Journal of Urology. 2004 ; Vol. 172, No. 6 I. pp. 2227-2231.
@article{cb14fd2de4de4dfd81b87b8e4bab0ef1,
title = "Potency, continence and complications in 3,477 consecutive radical retropubic prostatectomies",
abstract = "Purpose: We report results in a series of 3,477 consecutive patients treated with anatomical nerve sparing radical retropubic prostatectomy (RRP) in terms of recovery of erectile function, urinary continence and postoperative complications. Materials and Methods: From May 1983 through February 2003, 1 surgeon (WJC) performed anatomical RRP using a unilateral or bilateral nerve sparing modification when possible. Urinary continence and recovery of erections were evaluated in men with a minimum followup of 18 months. Excluded from potency analysis were men who were not reliably potent before surgery, those who did not undergo a nerve sparing procedure and those who received postoperative adjuvant radiotherapy or hormonal therapy within 18 months of surgery. Other postoperative complications in this patient population were also evaluated. Results: Erections sufficient for intercourse occurred in 76{\%} of preoperatively potent men treated with bilateral (1,770) and 53{\%} of men treated with unilateral or partial nerve sparing (64) surgery. Adequate erectile function was more common following bilateral than unilateral nerve sparing surgery in men younger than 70 years old (78{\%} versus 53{\%}, p = 0.001) compared with those 70 years old or older (52{\%} versus 56{\%}, p = 0.6). Recovery of urinary continence occurred in 93{\%} of all men and was associated with younger age (p = 0.001) but not nerve sparing surgery, tumor stage, prostate specific antigen (PSA), Gleason grade or number of prior prostatectomies performed by the surgeon. Postoperative complications occurred in 320 (9{\%}) of patients and were associated with older age (p",
keywords = "Penile erection, Prostatectomy, Prostatic neoplasms, Urinary incontinence",
author = "Kundu, {Shilajit D.} and Roehl, {Kimberly A.} and Eggener, {Scott E.} and Antenor, {Jo Ann V} and Misop Han and Catalona, {William J.}",
year = "2004",
month = "12",
doi = "10.1097/01.ju.0000145222.94455.73",
language = "English (US)",
volume = "172",
pages = "2227--2231",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "6 I",

}

TY - JOUR

T1 - Potency, continence and complications in 3,477 consecutive radical retropubic prostatectomies

AU - Kundu, Shilajit D.

AU - Roehl, Kimberly A.

AU - Eggener, Scott E.

AU - Antenor, Jo Ann V

AU - Han, Misop

AU - Catalona, William J.

PY - 2004/12

Y1 - 2004/12

N2 - Purpose: We report results in a series of 3,477 consecutive patients treated with anatomical nerve sparing radical retropubic prostatectomy (RRP) in terms of recovery of erectile function, urinary continence and postoperative complications. Materials and Methods: From May 1983 through February 2003, 1 surgeon (WJC) performed anatomical RRP using a unilateral or bilateral nerve sparing modification when possible. Urinary continence and recovery of erections were evaluated in men with a minimum followup of 18 months. Excluded from potency analysis were men who were not reliably potent before surgery, those who did not undergo a nerve sparing procedure and those who received postoperative adjuvant radiotherapy or hormonal therapy within 18 months of surgery. Other postoperative complications in this patient population were also evaluated. Results: Erections sufficient for intercourse occurred in 76% of preoperatively potent men treated with bilateral (1,770) and 53% of men treated with unilateral or partial nerve sparing (64) surgery. Adequate erectile function was more common following bilateral than unilateral nerve sparing surgery in men younger than 70 years old (78% versus 53%, p = 0.001) compared with those 70 years old or older (52% versus 56%, p = 0.6). Recovery of urinary continence occurred in 93% of all men and was associated with younger age (p = 0.001) but not nerve sparing surgery, tumor stage, prostate specific antigen (PSA), Gleason grade or number of prior prostatectomies performed by the surgeon. Postoperative complications occurred in 320 (9%) of patients and were associated with older age (p

AB - Purpose: We report results in a series of 3,477 consecutive patients treated with anatomical nerve sparing radical retropubic prostatectomy (RRP) in terms of recovery of erectile function, urinary continence and postoperative complications. Materials and Methods: From May 1983 through February 2003, 1 surgeon (WJC) performed anatomical RRP using a unilateral or bilateral nerve sparing modification when possible. Urinary continence and recovery of erections were evaluated in men with a minimum followup of 18 months. Excluded from potency analysis were men who were not reliably potent before surgery, those who did not undergo a nerve sparing procedure and those who received postoperative adjuvant radiotherapy or hormonal therapy within 18 months of surgery. Other postoperative complications in this patient population were also evaluated. Results: Erections sufficient for intercourse occurred in 76% of preoperatively potent men treated with bilateral (1,770) and 53% of men treated with unilateral or partial nerve sparing (64) surgery. Adequate erectile function was more common following bilateral than unilateral nerve sparing surgery in men younger than 70 years old (78% versus 53%, p = 0.001) compared with those 70 years old or older (52% versus 56%, p = 0.6). Recovery of urinary continence occurred in 93% of all men and was associated with younger age (p = 0.001) but not nerve sparing surgery, tumor stage, prostate specific antigen (PSA), Gleason grade or number of prior prostatectomies performed by the surgeon. Postoperative complications occurred in 320 (9%) of patients and were associated with older age (p

KW - Penile erection

KW - Prostatectomy

KW - Prostatic neoplasms

KW - Urinary incontinence

UR - http://www.scopus.com/inward/record.url?scp=8644283509&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=8644283509&partnerID=8YFLogxK

U2 - 10.1097/01.ju.0000145222.94455.73

DO - 10.1097/01.ju.0000145222.94455.73

M3 - Article

C2 - 15538237

AN - SCOPUS:8644283509

VL - 172

SP - 2227

EP - 2231

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 6 I

ER -