Pd34-04 Decision Regret in Patients Undergoing Radical Cystectomy: A Multicenter Analysis

You have accessJournal of UrologyBladder Cancer: Invasive III (PD34)1 May 2024PD34-04 DECISION REGRET IN PATIENTS UNDERGOING RADICAL CYSTECTOMY: A MULTICENTER ANALYSIS Alessandro Guercio, Riccardo Lombardo, Antonio Nacchia, Antonio Cicione, Giorgio Franco, Antonio Pastore, Yazan Al Salhi, Antonio Carbone, Andrea Fuschi, Giorgia Tema, Giuseppe Guarnotta, Alessandro Sciarra, Costantino Leonardo, Riccardo Mastroianni, Gabriele Tuderti, Mariaconsiglia Ferriero, Aldo Brassetti, Andrea Tubaro, Giuseppe Simone, and Cosimo De Nunzio Alessandro GuercioAlessandro Guercio , Riccardo LombardoRiccardo Lombardo , Antonio NacchiaAntonio Nacchia , Antonio CicioneAntonio Cicione , Giorgio FrancoGiorgio Franco , Antonio PastoreAntonio Pastore , Yazan Al SalhiYazan Al Salhi , Antonio CarboneAntonio Carbone , Andrea FuschiAndrea Fuschi , Giorgia TemaGiorgia Tema , Giuseppe GuarnottaGiuseppe Guarnotta , Alessandro SciarraAlessandro Sciarra , Costantino LeonardoCostantino Leonardo , Riccardo MastroianniRiccardo Mastroianni , Gabriele TudertiGabriele Tuderti , Mariaconsiglia FerrieroMariaconsiglia Ferriero , Aldo BrassettiAldo Brassetti , Andrea TubaroAndrea Tubaro , Giuseppe SimoneGiuseppe Simone , and Cosimo De NunzioCosimo De Nunzio View All Author Informationhttps://doi.org/10.1097/01.JU.0001008768.36634.79.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The purpose of this study was to assess predicting factors of after radical prostatectomy. METHODS: We performed an analysis of prospectively collected data of consecutive patients undergoing radical cystectomy in 4 primary care Italian urology centers. All patients underwent detailed clinical history and physical examination, preoperative, perioperative and postoperative characteristics were recorded. Decision regret was evaluated with validated questionnaires. Satisfaction score ranges from 3 to 15 (Satisfaction=score<5)) while regret score ranges from 2 to 10 (Regret=score<5). Logistic regression analysis were used to evaluate predictors of regret and satisfaction after RC. RESULTS: One hundred and eleven patients with a median age of 68 years (60/70) were enrolled. 47/111 (42%) performed a robotic procedure. Overall 59/111 (53%) underwent a neobladder, 34/111 (30%) underwent ileal conduit and 18/111 (16%) ureterocutaneostomy. Median satisfaction score was 3 (3/4) while median regret score 8 (6/10). On logistic regression analysis there were no specific predictors of treatment satisfaction. On logistic regression analysis advanced disease (pT≥3) (OR=2,88;p<0,05), open surgery (OR=2,91;p<0,05) and adjuvant chemotherapy (5,53;p<0,05) are predictors of treatment regret. CONCLUSIONS: In patients undergoing surgery for bladder cancer treatment regret depends on stage of the disease and surgical approach. If confirmed in larger series the implementation of robotic surgery may improve the management and regret of patients undergoing radical cystectomy. Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e719 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Alessandro Guercio More articles by this author Riccardo Lombardo More articles by this author Antonio Nacchia More articles by this author Antonio Cicione More articles by this author Giorgio Franco More articles by this author Antonio Pastore More articles by this author Yazan Al Salhi More articles by this author Antonio Carbone More articles by this author Andrea Fuschi More articles by this author Giorgia Tema More articles by this author Giuseppe Guarnotta More articles by this author Alessandro Sciarra More articles by this author Costantino Leonardo More articles by this author Riccardo Mastroianni More articles by this author Gabriele Tuderti More articles by this author Mariaconsiglia Ferriero More articles by this author Aldo Brassetti More articles by this author Andrea Tubaro More articles by this author Giuseppe Simone More articles by this author Cosimo De Nunzio More articles by this author Expand All Advertisement PDF downloadLoading ...