Retzius-sparing Robot-assisted Radical Prostatectomy With Sandwich Technique of Total Urethral Reconstruction
Conditions
Brief summary
To evaluate the impact of Retzius-sparing robot-assisted radical prostatectomy with Sandwich Technique of Total Urethral Reconstruction on early recovery of urinary continence (UC) compared to the conventional approach (anterior approach) and Laparoscopic Radical Prostatectomy for the treatment of clinically localized prostate cancer (PCa).Purpose: The trial compares outcomes between three groups.
Detailed description
300 consecutive patients with clinically localized PCa underwent RS-RARP-S (Retzius-sparing robot-assisted radical prostatectomy and Sandwich Technique of Total Urethral Reconstruction) or S-RARP (Standard RARP) or LRP by 6 experienced surgeons regardless of clinicopathological features. The indication for one technique or the others were surgeon preference; one surgeon exclusively performed RS-RARP-S( did not exclude high risk cases or those with apical and anterior tumors), two surgeons performed S-RARP, and three surgeons exclusively performed LRP. The investigation include an extensive evaluation of clinical, oncological, functional and quality of life related data by means of validated patient-reported outcome measures. The primary outcome is early recovery of urinary continence compared to the conventional approach.
Interventions
PROCEDURERetzius-sparing robot-assisted radical prostatectomy and Sandwich Technique of Total Urethral Reconstruction
Retzius-sparing robot-assisted radical prostatectomy and Sandwich Technique of Total Urethral Reconstruction
PROCEDUREStandard Robot-Assisted Radical Prostatectomy
Standard Robot-Assisted Radical Prostatectomy
PROCEDURELaparoscopic Radical Prostatectomy
Laparoscopic Radical Prostatectomy
Sponsors
Ministry of Science and Technology of the People´s Republic of China
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
MALE
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Histological verified prostate carcinoma (first diagnosis) Indication for primary curative radical prostatectomy Age ≤80 years Patient agrees to randomisation Patient is able to fill in the questionnaires on his own Patient is willing to provide written informed consent
Exclusion criteria
* Insufficient knowledge of German Severe cognitive impairment Obesity (BMI \> 35) Current existing severe comorbidities (e.g. liver cirrhosis, second malignancy or relapse of every kind) Tumor stage: T4 Previous malignancy (≤ 3 years before trial participation) Neoadjuvant therapy (hormons) within the last 3 months before participation in the trial Patient is immuno-compromised History of intermittent urinary self-catheterization within the last year Psychological disorders (dementia, chronic depression, psychosis) Any of the following treatments ≤ 3 months before trial participation: surgery of the sigmoid colon, extended haemorrhoid resection, transurethral needle ablation of the prostate (TUNA), osteosynthesis of the pelvis, salvage prostatectomy Patients with chronic urinary infection Dialysis patients Lacking willingness for data storage and handling in the frame of the trial protocol/aims
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| immediate urinary continence analysis | 1day，1month, 3 months after removal of the urinary cathete | Primary outcome was UC (defined as 0 pads/one security liner per day) after catheter removal |
Countries
China
Outcome results
None listed