{Reference Type}: Journal Article
{Title}: Outcomes after precision prostatectomy: safety, efficacy and transference of skills.
{Author}: Kolanukuduru KP;Busby D;Grauer R;Choudhary MK;Mandel A;Maheshwari A;Tewari AK;Menon M;
{Journal}: World J Urol
{Volume}: 42
{Issue}: 1
{Year}: 2024 Jul 10
{Factor}: 3.661
{DOI}: 10.1007/s00345-024-05074-2
{Abstract}: <B>OBJECTIVE: </B>Precision Prostatectomy (PP) is a viable treatment option for men with unilateral dominant cancer who are interested in preserving functional outcomes. To date, the data published about the outcomes of this technique has come from a single center only (Henry Ford - HF). We present the surgical, functional, and oncological outcomes of the first series of patients to undergo PP outside of HF, to demonstrate the safety and reproducibility of the technique.<BR><B>METHODS: </B>Between 2022 and 2023, PP was offered to select patients who were interested in preserving their functional status. Men who underwent PP were followed at 3 monthly intervals; information regarding their functional status was simultaneously obtained. Men who had biochemical recurrence were advised to undergo remnant biopsy. If residual cancer was detected, then remnant removal was performed.<BR><B>RESULTS: </B>The median age and median PSA of the study group was 63 years and 6.89 ng/ml respectively. The median operative and console times were 196.5 and 154 minutes. No intra-operative complications were noted. Three patients had a total of three post-operative complications. Three patients had biochemical recurrence; cancer was not detected in any of these patients on postoperative biopsies of the prostatic remnant. At 12 months, 91% of patients reported using 0 pads/day and 90.9% of pre-operatively potent patients were potent at 12 months.<BR><B>CONCLUSIONS: </B>PP is a safe and reproducible technique that can ensure cancer control and preservation of functional status in select patients. Further studies with large sample sizes and longer follow-up are required to ascertain the long-term outcomes of this surgical technique.