Candidacy for active surveillance may be associated with improved functional outcomes after prostatectomy

Abstract Objective In an effort to curb overtreatment, active surveillance (AS) has grown in popularity as an option for men with low-risk prostate cancer. We evaluated the histopathologic and functional outcomes of patients who qualified for AS, but opted for robotic-assisted laparoscopic prostatec...

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Bibliographic Details
Published in:Urologic oncology 2013-02, Vol.31 (2), p.187-192
Main Authors: Lavery, Hugh J., M.D, Levinson, Adam W., M.D., M.S, Brajtbord, Jonathan S., B.S, Samadi, David B., M.D
Format: Article
Language:English
Subjects:
Active surveillance
Humans
Laparoscopy
Male
Middle Aged
Neoplasm
Neoplasm Grading
Neoplasm Staging
Outcomes
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Prostate
Prostatectomy
Prostatectomy - adverse effects
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
Recovery of Function
Retrospective Studies
Robotics
Urology
Watchful Waiting
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Summary:Abstract Objective In an effort to curb overtreatment, active surveillance (AS) has grown in popularity as an option for men with low-risk prostate cancer. We evaluated the histopathologic and functional outcomes of patients who qualified for AS, but opted for robotic-assisted laparoscopic prostatectomy (RALP), and compared them to non-AS candidates. Methods An institutional database of 1,477 RALP performed by a single surgeon was queried for AS candidates, defined as PSA
ISSN:1078-1439
1873-2496
DOI:10.1016/j.urolonc.2010.11.013