Adverse RP Effects Not Lessened with Robotics

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Patients undergoing prostate cancer surgery will face similar risks for incontinence and sexual problems whether they undergo robotic-assisted laparoscopic radical prostectomy (RP) or open RP. Michael J. Barry, MD, and colleagues studied 406 Medicare patients who had undergone robotic-assisted laparoscopic RP and 220 who had undergone open RP. Of those who responded to questions on a mail survey, 31.1% reported a moderate or big problem with incontinence and 88% reported a moderate or big problem with sexual function, according to an online report in the Journal of Clinical Oncology. Adjusted analyses showed that robotic and open surgery were associated with similar likelihoods of greater problems with urinary and sexual function. “Medicare-age men should not expect fewer adverse effects following robotic prostatectomy,” the authors concluded.
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