Poster session 7: Laparoscopy and Reconstructive surgery| Volume 8, ISSUE 8, P694, September 2009

C111 Endoscopic extraperitoneal radical prostatectomy (EERPE): a retrospective analysis of 128 patients

      Introduction and Objectives

      A report of a retrospective analysis – EERPE from 2004–2008.

      Material and Methods

      128 patients were evaluated regarding operation time, histology, complications and functional outcome. Mean follow-up was 28 months (6–64).


      Mean age of the patients was 62 (42–77) years, mean preoperative PSA 6.12 ng/ml (0.41–15.36). Mean operation time was 219 minutes for the first 50 patients and 119 minutes in 2008. Conversion to an open procedure was necessary in under 5%. In 94% postoperative histology showed a T2, in 6% a T3 tumor. Positive surgical margins were found in 9%. 14% of the patients had a PSA rise over 0.1 ng/ml: 11% – 0.1 ng/ml; 1 patient – 0.3 ng/ml (R1) and 1 patient – 3.9 ng/ml (R1). Transfusion rate was 6%. Significant complication rate was under 2%, stricture rate 10%. Mean catheterization time had been reduced from 20 days (first 50 operations) to 8 days during the last year. In 85% an incontinence questionnnaire was evaluated. 89% were continent (maximum 1 pad/d), 11% needed 2 or more pads/d.


      Our retrospective analysis of the EERPE shows comparable results regarding functional and oncological outcome to the open procedure after an initial learning curve.