Combined Open Prostatectomy and Kidney Surgery: Feasibility and 12-Month Outcome

Lukas Rath, Friedrich Jokisch, Gerald Bastian Schulz, Alexander Kretschmer, Alexander Buchner, Christian G Stief, Philipp Weinhold Department of Urology, Ludwig-Maximilians-University, Munich, GermanyCorrespondence: Philipp WeinholdDepartment of Urology, Ludwig-Maximilians-University, Marchioninistr...

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Autores principales:	Rath L, Jokisch F, Schulz GB, Kretschmer A, Buchner A, Stief CG, Weinhold P
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	retropubic prostatectomy kidney surgery simultaneous prostate and kidney cancer combined surgery Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/2e84537ae2444f90be49287d55237a99
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spelling	oai:doaj.org-article:2e84537ae2444f90be49287d55237a992021-11-23T18:43:01ZCombined Open Prostatectomy and Kidney Surgery: Feasibility and 12-Month Outcome2253-2447https://doaj.org/article/2e84537ae2444f90be49287d55237a992021-11-01T00:00:00Zhttps://www.dovepress.com/combined-open-prostatectomy-and-kidney-surgery-feasibility-and-12-mont-peer-reviewed-fulltext-article-RRUhttps://doaj.org/toc/2253-2447Lukas Rath, Friedrich Jokisch, Gerald Bastian Schulz, Alexander Kretschmer, Alexander Buchner, Christian G Stief, Philipp Weinhold Department of Urology, Ludwig-Maximilians-University, Munich, GermanyCorrespondence: Philipp WeinholdDepartment of Urology, Ludwig-Maximilians-University, Marchioninistrasse 15, Munich, 81377, GermanyTel +4989-4400-73528Fax +49894400-78735Email philipp.weinhold@med.uni-muenchen.dePurpose: There are only a few case reports and case series that investigated combined laparoscopic or robotic surgery for simultaneous prostate and kidney cancer. In this study, we want to close a gap in existing research to assess the feasibility and oncological outcome of combined open prostatectomy and kidney surgery.Methods: We retrospectively analyzed patients who underwent a combined open prostatectomy and either a partial or complete nephrectomy from 2013 to 2020. Descriptive statistics were used to assess perioperative parameters and the 12-month functional and oncological outcomes after combined surgery.Results: We identified 10 patients undergoing combined open surgery. Partial nephrectomy was performed in 4, radical nephrectomy in 6 patients. For prostate cancer, histopathological analysis showed a tumor stage ≥ pT2c in all 10 patients. For renal tumors, histopathological analysis showed clear cell renal cell carcinoma in 8 patients and oncocytoma in 2 patients. Operating time was 177 ± 36 minutes. Two perioperative complications (Clavien 2a and 3) were observed. Three months postoperatively, the International Index of Erectile Function (IIEF-5) score was 5.6 ± 5.9, the ICIQ-SF score was 7.3 ± 5.6 and were using 1.9 ± 2.2 pads per day. This improved after 12 months postoperatively, as patients had an IIEF-5 score of 6.33 ± 6.5, an ICIQ-SF score of 4.4 ± 5.7 and were using pads 0.9 ± 1.7 per day.Conclusion: In this study, we showed that open surgery is a safe and valid approach for combined prostatectomy and renal surgery with acceptable complications and oncological outcomes. The combined open approach could be a good alternative to combined laparoscopic/robotic surgery in this field, especially to treat patients with advanced renal tumors or previous abdominal surgery or radiation.Keywords: retropubic prostatectomy, kidney surgery, simultaneous prostate and kidney cancer, combined surgeryRath LJokisch FSchulz GBKretschmer ABuchner AStief CGWeinhold PDove Medical Pressarticleretropubic prostatectomykidney surgerysimultaneous prostate and kidney cancercombined surgeryDiseases of the genitourinary system. UrologyRC870-923ENResearch and Reports in Urology, Vol Volume 13, Pp 815-821 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	retropubic prostatectomy kidney surgery simultaneous prostate and kidney cancer combined surgery Diseases of the genitourinary system. Urology RC870-923
spellingShingle	retropubic prostatectomy kidney surgery simultaneous prostate and kidney cancer combined surgery Diseases of the genitourinary system. Urology RC870-923 Rath L Jokisch F Schulz GB Kretschmer A Buchner A Stief CG Weinhold P Combined Open Prostatectomy and Kidney Surgery: Feasibility and 12-Month Outcome
description	Lukas Rath, Friedrich Jokisch, Gerald Bastian Schulz, Alexander Kretschmer, Alexander Buchner, Christian G Stief, Philipp Weinhold Department of Urology, Ludwig-Maximilians-University, Munich, GermanyCorrespondence: Philipp WeinholdDepartment of Urology, Ludwig-Maximilians-University, Marchioninistrasse 15, Munich, 81377, GermanyTel +4989-4400-73528Fax +49894400-78735Email philipp.weinhold@med.uni-muenchen.dePurpose: There are only a few case reports and case series that investigated combined laparoscopic or robotic surgery for simultaneous prostate and kidney cancer. In this study, we want to close a gap in existing research to assess the feasibility and oncological outcome of combined open prostatectomy and kidney surgery.Methods: We retrospectively analyzed patients who underwent a combined open prostatectomy and either a partial or complete nephrectomy from 2013 to 2020. Descriptive statistics were used to assess perioperative parameters and the 12-month functional and oncological outcomes after combined surgery.Results: We identified 10 patients undergoing combined open surgery. Partial nephrectomy was performed in 4, radical nephrectomy in 6 patients. For prostate cancer, histopathological analysis showed a tumor stage ≥ pT2c in all 10 patients. For renal tumors, histopathological analysis showed clear cell renal cell carcinoma in 8 patients and oncocytoma in 2 patients. Operating time was 177 ± 36 minutes. Two perioperative complications (Clavien 2a and 3) were observed. Three months postoperatively, the International Index of Erectile Function (IIEF-5) score was 5.6 ± 5.9, the ICIQ-SF score was 7.3 ± 5.6 and were using 1.9 ± 2.2 pads per day. This improved after 12 months postoperatively, as patients had an IIEF-5 score of 6.33 ± 6.5, an ICIQ-SF score of 4.4 ± 5.7 and were using pads 0.9 ± 1.7 per day.Conclusion: In this study, we showed that open surgery is a safe and valid approach for combined prostatectomy and renal surgery with acceptable complications and oncological outcomes. The combined open approach could be a good alternative to combined laparoscopic/robotic surgery in this field, especially to treat patients with advanced renal tumors or previous abdominal surgery or radiation.Keywords: retropubic prostatectomy, kidney surgery, simultaneous prostate and kidney cancer, combined surgery
format	article
author	Rath L Jokisch F Schulz GB Kretschmer A Buchner A Stief CG Weinhold P
author_facet	Rath L Jokisch F Schulz GB Kretschmer A Buchner A Stief CG Weinhold P
author_sort	Rath L
title	Combined Open Prostatectomy and Kidney Surgery: Feasibility and 12-Month Outcome
title_short	Combined Open Prostatectomy and Kidney Surgery: Feasibility and 12-Month Outcome
title_full	Combined Open Prostatectomy and Kidney Surgery: Feasibility and 12-Month Outcome
title_fullStr	Combined Open Prostatectomy and Kidney Surgery: Feasibility and 12-Month Outcome
title_full_unstemmed	Combined Open Prostatectomy and Kidney Surgery: Feasibility and 12-Month Outcome
title_sort	combined open prostatectomy and kidney surgery: feasibility and 12-month outcome
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/2e84537ae2444f90be49287d55237a99
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Combined Open Prostatectomy and Kidney Surgery: Feasibility and 12-Month Outcome

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