Mp62-09 Experience of Same-Day Discharge Following Robot-Assisted Simple Prostatectomy From a Single Institution

You have accessJournal of UrologyBenign Prostatic Hyperplasia: Surgical Therapy & New Technology IV (MP62)1 May 2024MP62-09 EXPERIENCE OF SAME-DAY DISCHARGE FOLLOWING ROBOT-ASSISTED SIMPLE PROSTATECTOMY FROM A SINGLE INSTITUTION Narmina Khanmammadova, Mitchell O'Leary, Andrew Shea Afyouni, Edward J. Choi, Daniel Jiang, Christian Im, Maria Epino, Timothy Chu, Ashley Gao, Ralph Kevin Gomez, Tuan Thanh Nguyen, Sohrab Naushad Ali, Mohammed Shahait, and David I. Lee Narmina KhanmammadovaNarmina Khanmammadova , Mitchell O'LearyMitchell O'Leary , Andrew Shea AfyouniAndrew Shea Afyouni , Edward J. ChoiEdward J. Choi , Daniel JiangDaniel Jiang , Christian ImChristian Im , Maria EpinoMaria Epino , Timothy ChuTimothy Chu , Ashley GaoAshley Gao , Ralph Kevin GomezRalph Kevin Gomez , Tuan Thanh NguyenTuan Thanh Nguyen , Sohrab Naushad AliSohrab Naushad Ali , Mohammed ShahaitMohammed Shahait , and David I. LeeDavid I. Lee View All Author Informationhttps://doi.org/10.1097/01.JU.0001008904.63948.3b.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robot-assisted simple prostatectomy (RASP) is an effective surgical option for the treatment of prostate glands greater >80 mm3. RASP boasts low perioperative morbidity rates with shorter recovery times when compared to more invasive techniques. Same-day discharge (SDD) following procedures like RASP offers patients the potential to maintain the advantages of a minimally invasive approach, while reducing healthcare costs. In this study, we evaluate the outcomes for patients undergoing RASP with SDD. METHODS: Following IRB approval, 34 patients were recruited between July 2021 - July 2023 to undergo RASP with SDD. Patients followed the Enhanced Recovery After Surgery protocol and were provided education regarding SDD before surgery. All patients underwent RASP with an extravesical approach, a 360-degree anastomosis, and received a transversus abdominis plane (TAP) block. Preoperative, perioperative, and postoperative data as well as data from patient phone calls, messages, and hospital visits from the first week after surgery were recorded for analysis. RESULTS: There were no intraoperative complications in our cohort. No patients required continuous bladder irrigation nor drain placement. The mean operative time was 135±35 minutes, median estimated blood loss was 100 (50 – 100) mL, and median resected adenoma weight was 72 (44 - 96) grams. The median time with an indwelling catheter was 7 (7 – 8) days. The median hospital stay was 152 (117-191) minutes, with a median discharge pain score of 3 (0 – 4). Thirty-one (91%) patients followed the SDD pathway. All SDD patients passed trial of void. Two patients were readmitted within 30 days unrelated to SDD: one patient with blood clot retention caused by vigorous exercise in the early recovery period, the other with sepsis secondary to epididymitis/orchitis (patient had history of infections with multiple drug resistant organisms). Four (12%) patients presented to an emergency room, and three (9%) patients communicated with a provider in the week following surgery about the postoperative course. CONCLUSIONS: SDD after RASP is safe and minimizes postoperative hospital time, thus reducing healthcare expenses. Surgical techniques that can help facilitate SDD include a 360-degree anastomosis, extravesical approach, and utilization of TAP blocks. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1024 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Narmina Khanmammadova More articles by this author Mitchell O'Leary More articles by this author Andrew Shea Afyouni More articles by this author Edward J. Choi More articles by this author Daniel Jiang More articles by this author Christian Im More articles by this author Maria Epino More articles by this author Timothy Chu More articles by this author Ashley Gao More articles by this author Ralph Kevin Gomez More articles by this author Tuan Thanh Nguyen More articles by this author Sohrab Naushad Ali More articles by this author Mohammed Shahait More articles by this author David I. Lee More articles by this author Expand All Advertisement PDF downloadLoading ...