[Hopespringpcsg] Fwd: Benefit of Robotic Surgery
Glen Tolhurst
glen46nor at gmail.com
Wed Jan 24 14:49:49 EST 2018
Hi all:
See link below to an interesting article article.
Take care,
Glen
---------- Forwarded message ----------
From: "Walter Eadie" <walter.eadie at cogeco.ca>
Date: Jan 24, 2018 13:37
Subject: Benefit of Robotic Surgery
To: "Brian Ray" <brian.ray at investorsgroup.com>, "Glen Tolhurst" <
glen46nor at gmail.com>, "Jim Dorsey" <jfdorsey at yahoo.com>, "Bob Allan" <
robert.allan22 at gmail.com>, "Winston Klass" <winstonklass at rogers.com>
Cc:
An article in the Journal of Urology (February 2018
> <http://www.jurology.com/issue/S0022-5347(17)X0005-0> Volume 199, Issue
> 2, Pages 474–480) which provides more “ammunition” to support robotic
> surgery over open.
>
> http://www.jurology.com/article/S0022-5347(17)77423-X/
> fulltext?platform=hootsuite
>
>
>
> *Depressive Symptoms and Low Sexual Desire after Radical Prostatectomy:
> Early and Long-Term Outcomes in a Real-Life Setting*
>
>
>
> *Purpose*
>
> We assessed the rate and predictors of depressive symptoms and impaired
> sexual desire in patients who underwent open or robot-assisted radical
> prostatectomy.
>
>
>
> *Materials and Methods*
>
> A total of 811 patients completed IIEF (International Index of Erectile
> Function) and BDI (Beck Depression Inventory) preoperatively, and 6, 12, 24
> and 36 months postoperatively. Rates and predictors of depressive symptoms
> and impaired sexual desire were assessed with descriptive statistics and
> logistic regression models.
>
>
>
> *Results*
>
> We analyzed data on 416 patients treated with robot-assisted radical
> prostatectomy and 395 who underwent open radical prostatectomy. Overall the
> incidence of patients with postoperative BDI scores suggestive of
> depressive symptoms ranged between 26.3% at 6 months and 36.7% at 36
> months. BDI scores were significantly higher in open than in robot-assisted
> radical prostatectomy cases at every analyzed postoperative time point (all
> p <0.01). Patients treated with robot-assisted radical prostatectomy showed
> higher IIEF-EF (Erectile Function) domain scores and a greater proportion
> of them experienced erectile function recovery at each time point compared
> to those treated with open radical prostatectomy (all p <0.005).
> Postoperatively the rate of impaired sexual desire ranged between 40.9% at
> 6 months and 34.1% at 24 months. IIEF-SD (Sexual Domain) scores were
> significantly lower in open radical prostatectomy cases at every follow up
> (all p <0.02). Age, open radical prostatectomy and postoperative erectile
> dysfunction were independent predictors of BDI scores and impaired sexual
> desire.
>
>
>
> *Conclusions*
>
> One of 3 men surgically treated for prostate cancer still report
> depressive symptoms months after surgery. Patients who undergo
> robot-assisted radical prostatectomy reported lower depressive symptoms
> than those treated with open radical prostatectomy. Sexual desire was
> highly affected after radical prostatectomy with greater impairment
> reported by patients who underwent open radical prostatectomy.
>
>
>
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