Erectile Dysfunction, Prostate Cancer
Conditions
Keywords
radical prostatectomy, robotic surgery, erectile dysfunction, continence
Brief summary
The purpose of this study is to evaluate the use of a hemostatic gelatine-thrombin matrix during athermal nerve-sparing prostate resection compared to conventional hemostasis using electrocautery in patients with localized prostate cancer and to investigate effects on postoperative erectile function and continence.
Interventions
Hemostatic gelatin-thrombin matrix is used for hemostasis during nerve-sparing dissection of the prostate.
Mono- and bipolar electrocautery and surgical clips are used for hemostasis during nerve-sparing dissection of the prostate.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient age \>18 * Histologically proven prostate cancer ( Gleason \<8; PSA\<10ng/ml) * Disease confined to prostate in clinical examination * Preoperative IEEF-5-Score\>20 * Patient is able to give informed consent
Exclusion criteria
* ASA IV-V * Prior extensive abdominal surgery * Signs for metastatic disease * Known allergy against bovine material * Patient is unable to give informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative erectile function | 12 months | Postoperative erectile function compared to preoperative status assessed validated questionnaires. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative continence | 12 months | Postoperative continence compared to preoperative status assessed by validated questionnaires. |
| Intraoperative bloodloss | During surgery | Amount of blood collected in the suction during surgery. |
| Intra- and postoperative complications | Perioperative period | Intra- and postoperative complications associated to the study´s intervention. |
Countries
Germany