ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Oncological and Functional Outcomes of Robot-Assisted Radical Prostatectomy in Kidney Transplant Recipients.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 3 citations in OpenAlex.
- Robot-assisted urologic surgery after kidney transplantation: indications, graft-protection strategies, and outcomes-a scoping review.Journal of robotic surgery · 2026Article
- Robot-Assisted Radical Prostatectomy in Solid Organ Transplant Recipients: Initial Experience and Systematic Review.Cancers · 2026Article
- Comparative study of open versus robotic radical prostatectomy in renal transplant recipients and review of the literature.Prostate international · 2026Article
- Radical Prostatectomy in Kidney Transplant Recipients-A Multicenter Experience.European urology open science · 2024Article
- The role of localised prostate cancer treatment in renal transplant patients: A systematic review.BJUI compass · 2023Review
- Robot-Assisted Radical Prostatectomy in Renal Transplant Recipients: A Systematic Review.Journal of clinical medicine · 2023Review
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveManagement of prostate cancer in kidney transplant recipients presents a unique surgical challenge due to the risk of direct or indirect injury to the transplanted kidney. Herein, we report the largest single center study of Robot-assisted Radical prostatectomy (RARP) in kidney transplant recipients.
methodsBetween Jan 2014-2019, 14 kidney transplant recipients with prostate cancer underwent RARP. Clinical and pathological features, perioperative and postoperative complications were retrospectively evaluated. Continence was defined as by patient utilization of zero urinary pads postoperatively.
resultsThe median (IQR) age at RARP was 60.2 (57.8-61.3) years, the interval between kidney transplant and RARP was 8.1 ± 7.5 years. The median (IQR) PSA was 6.9 (4-8.6); 10 of 14 patients had intermediate or high-risk prostate cancer. The median ASA score was 3, the mean (SD) operative time was 129.7 (26.3) minutes, and mean (SD) blood loss was 110 (44.6) ml. All cases were completed robotically, there was no graft loss or injury to transplanted ureter, and the mean length of stay was 1 (0.26) day.Final pathology demonstrated that 42.8% (6/14) of the patients had nonorgan confined disease (pT3a/T3b). 50% (7/14) of the patients were upgraded to higher risk Gleason disease on final surgical pathology. Post-RARP continence rate at 3 months, and 12 months were 45.5% (5/11) and 87.5% (7/8), respectively.
conclusionRARP following kidney transplantation represents a safe and feasible operation which does not appear to compromise oncological or transplant outcomes.
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