@article{Altay_Erkurt_Guzelburc_Kiremit_Boz_Albayrak_2015, title={Impact of obesity on functional and oncological outcomes in radical perineal prostatectomy}, volume={9}, url={https://cuaj.ca/index.php/journal/article/view/3094}, DOI={10.5489/cuaj.3094}, abstractNote={<p><strong>Introduction:</strong> We evaluated the impact of obesity on perioperative morbidity, functional, and oncological outcomes after radical perineal prostatectomy (RPP).</p><p><strong>Methods:</strong> A total of 298 consecutive patients underwent RPP at our institution. Patients were categorized into 3 groups based on their body mass index (BMI): Normal weight <25 kg/m2 (Group 1), overweight 25 to <30 kg/m2 (Group 2), and obese ≥30 kg/m2 (Group 3). We compared the groups with respect to perioperative<br />data, postoperative oncologic, and functional outcomes. Evaluation of urinary continence and erectile function was performed using a patient-reported questionnaire and the International Index of Erectile Function-5 questionnaire, respectively, administered preoperatively and at 3, 6, and 12 months. Limitations included short<br />follow-up time, retrospective design and lack of a morbidly obese group.</p><p><strong>Results:</strong> No significant differences were found among the 3 groups with regard to operative time, estimated blood loss, length of hospital stay, catheter removal time, positive surgical margin, and complication rates. At 12 months, 94.7%, 95% and 95% of normal, overweight and obese patients, respectively, were continent (free<br />of pad use) (p = 0.81). At 12 months, 30.6%, 29.8% and 30.4% of patients had spontaneous erections and were able to penetrate and complete intercourse in Group 1, Group 2, and Group 3, respectively (p = 0.63).</p><p><strong>Conclusions:</strong> In this cohort of patients, no clinically relevant risks were associated with increasing BMI.</p>}, number={11-12}, journal={Canadian Urological Association Journal}, author={Altay, Bulent and Erkurt, Bulent and Guzelburc, Vahit and Kiremit, Murat Can and Boz, Mustafa Yucel and Albayrak, Selami}, year={2015}, month={Nov.}, pages={E766–9} }