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Sexual function recovery after robot-assisted radical prostatectomy: Outcomes from an Italian referral centre and predicting nomogram

Andrologia Aug 27, 2019

Cozzi G, Musi G, Monturano M, et al. - In order to evaluate sexual recovery following robotic-assisted radical prostatectomy (RARP) and to establish a nomogram predicting 1-year sexual function, researchers recruited 643 patients eligible for RARP from May 2015 to July 2016 and the Expanded Prostate cancer Index Composite questionnaire was administered preoperatively, then at 45 days, and at 3, 6, 9, and 12 months postoperatively. Age was related to baseline potency. Bioptic Gleason score (GS), American Society of Anesthesiologists (ASA) score and Charlson Comorbidity Index (CCI) were negatively correlated with potency. Baseline sexual function was correlated with potency recovery. A nomogram resulted from fitting a proportional odds logistic model for ordinal outcomes, with 1-year sexual function as a dependent variable and baseline sexual potency, age, BMI, clinical-stage, biopsy GS, initial prostate-specific antigen, ASA score, and CCI as predictors. Subsequent to additional validation, this nomogram could be a beneficial tool for preoperative counseling.
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