Urinary and Sexual Function Outcomes among Different Age Groups after Robot-Assisted Laparoscopic Prostatectomy (original) (raw)

2008, Journal of Endourology

Purpose: We present an age-stratified prospective assessment of urinary and sexual function of 300 patients after robot-assisted laparoscopic prostatectomy (RALP). Materials and Methods: Subjective assessment data of continence and potency were collected for different age groups (Ͻ50, 50-59, and Ն60 years old) preoperatively, and at 1, 3, 6, and 12 months after RALP. Healthrelated quality of life questionnaires evaluated return of baseline urinary and sexual function at the same time intervals. Results: The three age groups included 21, 129, and 150 patients (aged Ͻ50, 50-59, and Ͼ60 years old, respectively). Using Kaplan-Meier curves, younger men achieved subjective continence significantly earlier than older age groups when age groups were compared using a 60-year-old cutoff point (P ‫؍‬ 0.02). However, subjective continence was noted to be equal among all age groups after 1 year of follow-up. Time to recovery of subjective potency among age groups shows a significant difference in favor of the younger age group (P ‫؍‬ 0.01) Objective urinary function is equal between age groups at all time points, while objective sexual function assessment showed a trend toward better results in the younger age group. Conclusions: Younger men will likely have an earlier return of continence and potency compared to older men after RALP. However, continence outcomes were noted to be equal among age groups after I year of follow-up, while younger men continue to report superior potency outcomes compared to older men over the first postoperative year. Such findings are valuable in counseling older men undergoing this procedure.