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Prostate Cancer
Volume 2014, Article ID 367675, 9 pages
http://dx.doi.org/10.1155/2014/367675
Review Article

Robotic Radical Prostatectomy in Patients with Previous Prostate Surgery and Radiotherapy

1Department of Urology, VKF American Hospital, 34365 Istanbul, Turkey
2School of Medicine, Koc University, 34450 Istanbul, Turkey

Received 10 April 2014; Revised 23 June 2014; Accepted 23 June 2014; Published 9 July 2014

Academic Editor: Katsuto Shinohara

Copyright © 2014 Ömer Acar and Tarık Esen. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Herein, we will review the available literature about robot-assisted radical prostatectomy in patients who have undergone prostate surgery or radiotherapy. Current data about this topic consists of small case series with limited follow-up. Despite being technically demanding, robot-assisted radical prostatectomy (RARP) can be considered feasible in either setting. Prostate surgery or prostatic irradiation should not be considered as a contraindication for robot-assisted radical prostatectomy. Nevertheless, patient counseling about the possible complications and the need for reintervention is of extreme importance in this patient population. Early oncologic and functional results of RARP performed in case of radiorecurrent prostate cancer look promising. Regarding postprostate surgery RARP, some series have reported comparable results, while some have demonstrated more inferior outcomes than those of naive cases. In order to assess the exact functional and oncologic outcome of RARP in patients with previous prostate surgery and radiotherapy, studies enrolling higher number of patients and providing longer follow-up data are needed.