Impact of obesity on functional and oncological outcomes in radical perineal prostatectomy

Authors

  • Bulent Altay Istanbul Medipol University
  • Bulent Erkurt Istanbul Medipol University
  • Vahit Guzelburc Istanbul Medipol University
  • Murat Can Kiremit Istanbul Medipol University
  • Mustafa Yucel Boz Istanbul Medipol University
  • Selami Albayrak Istanbul Medipol University

DOI:

https://doi.org/10.5489/cuaj.3094

Keywords:

Prostate cancer, radical perineal prostatectomy, obesity, body mass index

Abstract

Introduction: We evaluated the impact of obesity on perioperative morbidity, functional, and oncological outcomes after radical perineal prostatectomy (RPP).

Methods: 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
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
follow-up time, retrospective design and lack of a morbidly obese group.

Results: 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
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).

Conclusions: In this cohort of patients, no clinically relevant risks were associated with increasing BMI.

Downloads

Download data is not yet available.

Downloads

Published

2015-11-04

How to Cite

Altay, B., Erkurt, B., Guzelburc, V., Kiremit, M. C., Boz, M. Y., & Albayrak, S. (2015). Impact of obesity on functional and oncological outcomes in radical perineal prostatectomy. Canadian Urological Association Journal, 9(11-12), E766–9. https://doi.org/10.5489/cuaj.3094

Issue

Vol. 9 No. 11-12 (2015): CUAJ November

Section

Original Research

License

You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association. This means that you may not, without the prior written permission of the CUA:

  • Post the Article on any Web site
  • Translate or authorize a translation of the Article
  • Copy or otherwise reproduce the Article, in any format, beyond what is permitted under Canadian copyright law, or authorize others to do so
  • Copy or otherwise reproduce portions of the Article, including tables and figures, beyond what is permitted under Canadian copyright law, or authorize others to do so.

The CUA encourages use for non-commercial educational purposes and will not unreasonably deny any such permission request.

You retain your moral rights in and to the Article. This means that the CUA may not assert its copyright in such a way that would negatively reflect on your reputation or your right to be associated with the Article.

The CUA also requires you to warrant the following:

  • That you are the Author(s) and sole owner(s), that the Article is original and unpublished and that you have not previously assigned copyright or granted a licence to any other third party;
  • That all individuals who have made a substantive contribution to the article are acknowledged;
  • That the Article does not infringe any proprietary right of any third party and that you have received the permissions necessary to include the work of others in the Article; and
  • That the Article does not libel or violate the privacy rights of any third party.