Multicenter experience with robot-assisted radical prostatectomy in renal transplant recipients Journal Article

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Authors: Polcari, A. J.; Allen, J. C.; Nunez-Nateras, R.; Mmeje, C. O.; Andrews, P. E.; Milner, J. E.; Castle, E. P.; Woods, M. E.
Article Title: Multicenter experience with robot-assisted radical prostatectomy in renal transplant recipients
Abstract: OBJECTIVE: To evaluate our multi-institutional outcome with robot-assisted radical prostatectomy (RARP) in renal transplant recipients and describe technical modifications of the procedure. MATERIALS AND METHODS: We retrospectively reviewed 1677 patients, 1422 from Mayo Clinic Arizona and 255 from Loyola University Medical Center, undergoing RARP from March 2004 to October 2010, of which 7 were renal transplant recipients. Baseline demographic features, perioperative data, and oncologic outcomes were reviewed. RESULTS: At diagnosis, mean patient age was 63.3 years and serum prostate specific antigen was 6.17 ng/mL. The mean total operative time was 186 minutes (range, 80-210 minutes). No intraoperative complications were noted. The mean hospital length of stay was 1.8 days (range, 1-3 days). Clavien grade II postoperative complications occurred in 3 of the 7 patients (42.9%), consisting of urosepsis, atrial fibrillation, and gross hematuria, all resolving with appropriate medical management. No significant changes were observed in graft function. Two patients (28.6%) had positive surgical margins. During a mean follow-up of 16 months, 1 patient with pathologic T3a, Gleason 9 cancer experienced a biochemical recurrence, which was treated with salvage external-beam radiation and androgen-deprivation therapy. CONCLUSION: Our series suggests that RARP is a safe and feasible form of therapy for localized prostate cancer in a select group of renal transplant recipients.
Journal Title: Urology
Volume: 80
Issue: 6
ISSN: 1527-9995; 0090-4295
Publisher: Elsevier Inc  
Journal Place: United States
Date Published: 2012
Start Page: 1267
End Page: 1272
Language: eng
DOI/URL:

10.1016/j.urology.2012.08.048

10.1016/j.urology.2012.08.048
Notes: CI: Copyright (c) 2012; JID: 0366151; 2012/05/04 [received]; 2012/07/21 [revised]; 2012/08/22 [accepted]; ppublish
LUC Authors
  1. John Milner
    8 Milner
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