Comparison of functional outcomes after retropubic, laparoscopic and robot-assisted radical prostatectomy: A meta-analysis

doi:10.13105/wjma.v2.i3.107

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World Journal of Meta-Analysis

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Meta-Analysis

World J Meta-Anal. Aug 26, 2014; 2(3): 107-126
Published online Aug 26, 2014. doi: 10.13105/wjma.v2.i3.107

Table 6 Comparative studies evaluating potency recovery after laparoscopic radical prostatectomy or robot-assisted radical prostatectomy

Quality	Case, n	Author, yr	Country	Age (yr)	BMI (kg/m²)	Prostate Volume (mL,g)	Gleason score (biopsy)	PSA (ng/mL)	Study design	Potency definition	Data collection	Loss of follow-up (N/Y, %)	Potency recovery (UNS/BNS), %(n)		Potency recovery (unclear NS), %(n)
Quality	Case, n	Author, yr	Country	Age (yr)	BMI (kg/m²)	Prostate Volume (mL,g)	Gleason score (biopsy)	PSA (ng/mL)	Study design	Potency definition	Data collection	Loss of follow-up (N/Y, %)	6 mo	12 mo	6 mo	12 mo
High	LRP, 60	Asimakopoulos et al[44], 2011	Italy	61.1 ± 5.1	26.3 ± 2.2	-	-	7.37 (1.5-9.15)	RCT	ESI	IIEF-6	N	-	-	22.0 (13/60)	32.0 (19/60)
	RARP, 52	Asimakopoulos et al[44], 2011	Italy	59.6 ± 5.4	25.8 ± 2.6			8.9 (5.8-9.2)							75.0^a (39/52)	77.0^a (40/52)
High	LRP, 35	Porpiglia et al[45], 2012	Italy	64.7 ± 5.9	26.8 ± 2.9	37.7 ± 14.1	-	8.3 ± 6.5	RCT	IIEF-5 > 17	IIEF-5	N	48.5 (17/35)	54.2 (19/35)	-	-
	RARP, 35	Porpiglia et al[45], 2012	Italy	63.9 ± 6.7	26.2 ± 2.5	36.2 ± 12.6		6.9 ± 4.2					65.7 (23/35)	80.0^a (28/35)
3/1/3(H)	LRP, 866	Ploussard et al[46], 2012	France	62.7	26.6	-	-	9.8	Prospective	ESI	IIEF-5	N	20.4 (177/866)	31.6 (274/866)	-	-
	RARP, 711	Ploussard et al[46], 2012	France	62.7	26.5			9.2					42.1 (299/711)	57.7 (410/711)
3/1/2(M)	LRP, 41	Cho et al[49],	South Korea	66.5 (57-75)	23.65 (18.1-28.4)	39.7 (19-72)	6.81 (5-9)	11.04 (2.72-36.6)	Retrospective	ESI	Interview	N	46.3 (19/41)	68.3 (28/41)	-	-
	RARP, 53	Cho et al[49],	South Korea	66.3 (50-77)	24.61 (19.9-26.3)	36.6 (22-92.8)	6.83 (5-8)	9.98 (2.91-26.3)					56.6 (30/53)	69.8 (37/53)
4/2/3(H)	LRP, 55	Hakimi et al[50], 2009	United States	59.6 (43-72)	-	-	-	7.5	Retrospective	Presence of	IIEF-5	N	47.3 (26/55)	65.5 (36/55)	-	-
	RARP, 58	Hakimi et al[50], 2009	United States	59.8 (42-71)				8.4		Erection			63.8 (37/58)	74.1 (43/58)
3/2/2(H)	LRP, 86	Willis et al[52], 2011	United States	58.0 ± 6.7	27.0 ± 3.4	35.2 ± 10.1	-	5.7 ± 2.9	Retrospective	ESI	Validated	Y, > 20%	57.0 (34/60)	67.0 (38/57)	-	-
	RARP, 74	Willis et al[52], 2011	United States	58.1 ± 6.3	26.7 ± 3.3	41.5 ± 15.2		5.0 ± 2.2			questionnaire		73.0 (29/40)	88.0 (21/24)
3/1/2(M)	LRP, 35	Park et al[53], 2011	South Korea	65.7 (38-77)	24.6 (19.4-31.4)	30.1 (12.0-56.0)	-	9.14 (2.65-30.77)	Retrospective	ESI	Interview	Y, > 20%	-	47.6 (10/21)	-	-
	RARP, 37	Park et al[53], 2011	South Korea	62.7 (46-71)	26.0 (19.7-39.4)	32.9 (15.5-66.8)		6.32 (1.86-29.5)						54.5 (12/22)
3/2/3(H)	LRP, 144	Park et al[54], 2013	South Korea	67 (38-77)	24.2 (17.2-31.4)	28.8 (12.0-74.0)	-	5.84 (0.08-41.26)	Retrospective	ESI	Interview	N	30.8 (26/83)	32.7 (27/83)	10.2 (15/144)	22.9 (33/144)
	RARP, 183	Park et al[54], 2013	South Korea	63 (44-75)	24.7 (16.4-39.4)	30.3 (15.5-82.8)		4.98 (0.05-51.46)					31.1 (49/156)	36.5 (57/156)	20.1 (37/183)	35.0 (64/183)

^aP < 0.05. LRP: Laparoscopic radical prostatectomy; RARP: Robot-assisted radical prostatectomy; RCT: Randomized controlled trial; ESI: Erection sufficient for intercourse; IIEF: International index of erectile function. EPIC: Expanded prostate cancer index composite; SHIM: Sexual health inventory for men; UNS: Unilateral nerve sparing; PSA: Prostate-specific antigen; BNS: Bilateral nerve sparing.

Citation: Shi MJ, Yang J, Meng XY, Li S, Liu T, Fang ZH, Cao R, Wang XH. Comparison of functional outcomes after retropubic, laparoscopic and robot-assisted radical prostatectomy: A meta-analysis. World J Meta-Anal 2014; 2(3): 107-126
URL: https://www.wjgnet.com/2308-3840/full/v2/i3/107.htm
DOI: https://dx.doi.org/10.13105/wjma.v2.i3.107