Mean age: 59 years
Mean PSA: 8,9 ng/ml
Mean number of positive biopsies: 2
Mean Gleason score: 6,5
Mean weight of the prostate: 56 g
Operating time: about 2 hours and a half (shortest 1 hour
and a half) when prostatectomy is easy, 3 hours and a half
or longer when prostatectomy is difficult.
Mean intraoperative bleeding is currently 320 cc.
Transfusion is currently required in 3% of cases.
The conversion rate to open surgery is currently 0%.
The hospital stay is 3 to 5 days in 90% of cases, 6 to 7 days in 8% of cases and more than 7 days in 2% of cases.
The mean duration of bladder catheterization is 8 days, with a maximum of 13 days. Currently bladder catheter removal is done at home after the patient was discharged from hospital.
Reduction of postoperative pain by means of laparoscopy
results in pain scores on visual scales of less than 2 out
of 10 on the first day.
Recovery is extremely rapid, as about 60% of patients are
completely dry 30 days after removal of the catheter (no
pads), most of then in less than 4 weeks. These results
represent 13% more than the same results with open surgery
in our hands.
At one year, 83% of patients do not wear permanent pads looking at the home questionnaire fulfilled by the patient himself.
1% underwent an artificial shincter after one year.
Potency : preservation of the neurovascular pedicles currently allows an increased erection rate. 90% of patients who have a pre-operative regular sexual activities with bilateral neurovascular sparing are potent at one year, using temporary help of a medication (Cialis), 75% have intercourses.
Patients who underwent previous abdominal or pelvic surgery
can be operated on.
Carcinologic results : 85% of patients were PT2 and 15% were PT3.
At 5 years, globally 92,5% of patients with PT2 cancers are PSA free (no recurrence). Among the group of patients with PSA
<10, gleason score <7 97,5% of them have no recurrence at 3 years, at 5 years globaly 80% of petients are PSA free.