Introduction. Prostate cancer is one of the most common malignancies in men. Along with oncological results, functional results of laparoscopic prostatectomy also play an important role.
Materials and methods. We performed retrospective analysis of the treatment results of 167 patients with intermediate-risk prostate cancer who underwent laparoscopic radical prostatectomy from 2019 to 2023. Degree of incontinence, severity of lower urinary tract symptoms, as well as the degree of preservation of erectile function after surgery were evaluated. To identify predictors of incontinence in the postoperative period, univariable and multivariable analyses were performed.
Results and discussion. There was a significant decrease in the severity of lower urinary tract symptoms after surgery. However, only 4,8% (n=8) of patients had preserved erectile function after radical prostatectomy, while many patients in the sample did not have neurovascular bundle preservation (92,8%). The degree of continence after surgery increased over time. So, 2,9% (n=5), 16,2% (n=27), 37,3% (n=62), 60,6% (n=100), 67,5% (n=110) patients showed total continence and did not need to use urological pads after removal of the urethral catheter, 1, 3, 12 and 24 months after surgery, respectively. The probability of urinary incontinence after radical prostatectomy increased 3-fold with a prostate volume of more than 62 cm3 or an age of more than 60 years. The prehospital IPSS score was also an independent predictor of urinary incontinence after surgery.
Conclusion. Laparoscopic radical prostatectomy is a minimally invasive method of treating patients with intermediate-risk prostate cancer, which allows them to achieve good functional results without compromising their quality of life.
