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  • Introduction & ObjectivesTo compare the recovery of continence and erectile function after laparoscopic extraperitoneal radical prostatectomy using two different surgical devices, namely, Ultracision and Ligasure, for dissection and hemostasis.Material & MethodsOne hundred thirty two males with localized prostate cancer were prospectively enrolled for the study and subjected to laparoscopic extraperitoneal radical prostatectomy. They were randomly divided into two groups: Group A comprising of 66 patients and Group B comprising of 66 patients. Surgery of  Group A patients was conducted using radiofrequency scalpels,  whereas, the surgery of Group B patients was conducted using ultrasonic scalpels. The recovery of urinary continence and erectile function of the patients were assessed by  self-administered questionnaires (International Continence Society Questionnaire and International Index of Erectile Dysfunction) at 15 days before surgery, and 90 and 180 days after prostatectomy.ResultsDifferences in operative time, intra- and perioperative complications, and postoperative hospital stay for the two groups were statistically insignificant. Patients treated with radiofrequency (LigaSure) showed better recovery of continence and erectile functions compared to patients treated with ultrasonic scalpel (Harmonic) at 180 days after surgery, as shown by a statistically significant difference between ICIQ-UI (p = 0.0016) and IIEF 5 (p = 0.0352) scores.ConclusionsIn this study, radiofrequency provided better functional outcomes compared to ultrasonic scalpels in patients subjected to extraperitoneal LRP. This may be attributed to the low lateral spreading of the device, which allowed to limit the damage of tissues not directly involved in the dissection and hemostasis. Pastore A.L.1, Palleschi G.2, Al Rawashdah S.F.2, Al Salhi Y.2, Fuschi A.2, Autieri D.2, Ripoli A.2, Leto A.2, Petrozza V.2, Carbone A.2 7th European Multidisciplinary Meeting on Urological Cancers 1Sapienza University of Rome, , Latina, 2Sapienza University of Rome, Latina 58543 EMUC15-0060 P010
  • Introduction & ObjectivesTo compare the recovery of continence and erectile function after laparoscopic extraperitoneal radical prostatectomy using two different surgical devices, namely, Ultracision and Ligasure, for dissection and hemostasis.Material & MethodsOne hundred thirty two males with localized prostate cancer were prospectively enrolled for the study and subjected to laparoscopic extraperitoneal radical prostatectomy. They were randomly divided into two groups: Group A comprising of 66 patients and Group B comprising of 66 patients. Surgery of  Group A patients was conducted using radiofrequency scalpels,  whereas, the surgery of Group B patients was conducted using ultrasonic scalpels. The recovery of urinary continence and erectile function of the patients were assessed by  self-administered questionnaires (International Continence Society Questionnaire and International Index of Erectile Dysfunction) at 15 days before surgery, and 90 and 180 days after prostatectomy.ResultsDifferences in operative time, intra- and perioperative complications, and postoperative hospital stay for the two groups were statistically insignificant. Patients treated with radiofrequency (LigaSure) showed better recovery of continence and erectile functions compared to patients treated with ultrasonic scalpel (Harmonic) at 180 days after surgery, as shown by a statistically significant difference between ICIQ-UI (p = 0.0016) and IIEF 5 (p = 0.0352) scores.ConclusionsIn this study, radiofrequency provided better functional outcomes compared to ultrasonic scalpels in patients subjected to extraperitoneal LRP. This may be attributed to the low lateral spreading of the device, which allowed to limit the damage of tissues not directly involved in the dissection and hemostasis. Pastore A.L.1, Palleschi G.2, Al Rawashdah S.F.2, Al Salhi Y.2, Fuschi A.2, Autieri D.2, Ripoli A.2, Leto A.2, Petrozza V.2, Carbone A.2 7th European Multidisciplinary Meeting on Urological Cancers 1Sapienza University of Rome, , Latina, 2Sapienza University of Rome, Latina 58543 EMUC15-0060 P010
  • Introduction & ObjectivesTo compare the recovery of continence and erectile function after laparoscopic extraperitoneal radical prostatectomy using two different surgical devices, namely, Ultracision and Ligasure, for dissection and hemostasis.Material & MethodsOne hundred thirty two males with localized prostate cancer were prospectively enrolled for the study and subjected to laparoscopic extraperitoneal radical prostatectomy. They were randomly divided into two groups: Group A comprising of 66 patients and Group B comprising of 66 patients. Surgery of  Group A patients was conducted using radiofrequency scalpels,  whereas, the surgery of Group B patients was conducted using ultrasonic scalpels. The recovery of urinary continence and erectile function of the patients were assessed by  self-administered questionnaires (International Continence Society Questionnaire and International Index of Erectile Dysfunction) at 15 days before surgery, and 90 and 180 days after prostatectomy.ResultsDifferences in operative time, intra- and perioperative complications, and postoperative hospital stay for the two groups were statistically insignificant. Patients treated with radiofrequency (LigaSure) showed better recovery of continence and erectile functions compared to patients treated with ultrasonic scalpel (Harmonic) at 180 days after surgery, as shown by a statistically significant difference between ICIQ-UI (p = 0.0016) and IIEF 5 (p = 0.0352) scores.ConclusionsIn this study, radiofrequency provided better functional outcomes compared to ultrasonic scalpels in patients subjected to extraperitoneal LRP. This may be attributed to the low lateral spreading of the device, which allowed to limit the damage of tissues not directly involved in the dissection and hemostasis. Pastore A.L.1, Palleschi G.2, Al Rawashdah S.F.2, Al Salhi Y.2, Fuschi A.2, Autieri D.2, Ripoli A.2, Leto A.2, Petrozza V.2, Carbone A.2 7th European Multidisciplinary Meeting on Urological Cancers 1Sapienza University of Rome, , Latina, 2Sapienza University of Rome, Latina 58543 EMUC15-0060 P010
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