Prostatic Neoplasms, Adenocarcinoma
Conditions
Brief summary
To date, no study has prospectively compared open versus robotic radical prostatectomy in a randomized fashion for patients with prostate cancer. For patients with newly diagnosed prostate cancer who choose surgical management, the choice of surgical approach is often limited to surgeon preference and experience. This study will prospectively randomize patients with localized prostate cancer who are candidates for surgical management to open versus robotic radical prostatectomy.
Interventions
Robotic assisted radical prostatectomy
Open radical prostatectomy
Sponsors
Study design
Eligibility
Inclusion criteria
* Biopsy proven adenocarcinoma of the prostate * Deemed a surgical candidate for a bilateral nerve bundle preservation * Potent * Continent of urine * Surgical candidate for both open and robotic nerve-sparing radical prostatectomy * Age \>18
Exclusion criteria
* Previous treatment of prostate cancer (radiation, hormones, etc.)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Trifecta | at 2 years | Free from biochemical recurrence, continent, and potent 2 years after radical prostatectomy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Potency | at 3, 12, and 24 months | Satisfactory erections |
| Free from biochemical recurrence | at 3, 12, and 24 months | PSA \<0.2 ng/mL |
| Acute complications | Within 30 days of surgery | Any complication according to Calvien classification |
| Continence | at 3, 12, and 24 months | Continent of urine |
| Estimated blood loss | Participants will be followed for the duration of the operation, an expected average of 3 hours | — |
| Operative time | Participants will be followed for the duration of the operation, an expected average of 3 hours | — |
| Length of hospital stay | Participants will be followed for the duration of the hospital stay, an expected average of 1-2 days | — |
| Long-term complication | >30 days | bladder neck contracture, lymphocele |
Countries
United States