Impact of sutureless dorsal venous complex combined with robotic-assisted laparoscopic prostatectomy on sexual function in patients with prostatic cancer
10.13263/j.cnki.nja.2025.09.005
- VernacularTitle:背深静脉复合体免缝扎联合机器人辅助腹腔镜根治性前列腺切除术对患者性功能的影响
- Author:
Wei ZHENG
1
;
Xin-mian HUANG
1
;
Xiao-bo XU
1
;
Ke-bing YANG
1
;
Xiao-long QI
1
;
Da-hong ZHANG
1
Author Information
1. 浙江省人民医院泌尿外科,浙江 杭州 310000
- Publication Type:Journal Article
- Keywords:
sutureless dorsal venous complex;
robot;
laparoscopy;
radical prostatectomy;
sexual function
- From:
National Journal of Andrology
2025;31(9):807-811
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the impact of sutureless approach to the dorsal venous complex(DVC)combined with ro-botic-assisted laparoscopic prostatectomy on sexual function of patients with prostatic cancer.Methods:This study included 114 prostate cancer patients who underwent robot-assisted laparoscopic radical prostatectomy at our hospital from January 2021 to January 2024.The patients were randomly divided into a control group(n=57)and an observation group(n=57).The control group re-ceived conventional"figure-of-eight"suture ligation of the dorsal venous complex(DVC),while the observation group underwent di-rect DVC transection using monopolar electrocautery scissors after increasing pneumoperitoneum pressure.Surgical duration,intraopera-tive blood loss,positive surgical margin rates,and positive apical margin rates were recorded.The continence rates and rates of morn-ing erections at 1,3 and 6 months after the operation were compared between groups.Sexual function was assessed pre-operatively and at 6 months post-operation by using the IIEF-5 and PEDT.Results:The operative time in the observation group was significantly lon-ger than that in the control group([115.71±19.42]min vs[103.42±12.78]min,P＜0.05).While no significant differences were observed in intraoperative blood loss,positive surgical margin rate,or positive apical margin rate between the two groups(P＞0.05).At 3 and 6 months after the operation,the observation group exhibited higher urinary continence rates and morning erection re-covery rates compared to the control group(P＜0.05).Furthermore,at 6 months postoperatively,the observation group demonstrated significantly higher IIEF-5 scores and lower PEDT scores than those of control group(P＜0.05).Conclusion:The use of a suture-less DVC technique in robotic-assisted laparoscopic radical prostatectomy protects the post-operative sexual function in patients.
