Perioperative outcomes of robot-assisted radical prostatectomy (RARP) in obese patients are mostly comparable to those of non-obese patients, researchers reported online ahead of print in the Journal of Endourology.

Tianyuan Xu, MD, and colleagues at Shanghai Jiaotong University School of Medicine in Shagnhai, China, analyzed data from 13 observational studies that included a total of 1,821 obese patients and 4,801 non-obese patients. Pooled odds ratios showed no significant difference in complications, hospital length of stay, and positive surgical margin rates.

Operating time and estimated blood loss, however, were significantly greater in the obese compared with non-obese patients. Obese patients were more likely to have urinary incontinence and erectile dysfunction at 1 year.

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