Observational studyInternational journal of urology : official journal of the Japanese Urological Association2026
Transverse Versus Vertical Camera Port Incision for Patient Satisfaction After Robot-Assisted Radical Prostatectomy.
Observational study in International journal of urology : official journal of the Japanese Urological Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThe aim of the present study was to compare patient satisfaction after robot-assisted radical prostatectomy (RARP) between transverse and vertical camera port incisions, as assessed by wound pain and camera port-related health-related quality of life.
methodsThis prospective observational study included 100 consecutive patients who underwent RARP, divided into a transverse incision group (n = 57) and a vertical incision group (n = 43). The primary outcome measure was incisional pain at the camera port used for specimen extraction on postoperative Day 7. Secondary outcome measures included wound satisfaction, particularly at the camera port, assessed using the Derriford Appearance Scale (DAS-59).
resultsThe number of patients who reported wound pain on postoperative Day 7 was significantly higher in the transverse group (n = 11, 19.2%) than in the vertical group (n = 1, 2.3%) (p < 0.001). There was no significant difference in total DAS-59 scores between the two groups (p = 0.44). Multivariate logistic regression analysis identified body mass index (odds ratio [OR], 9.5; 95% confidence interval [CI], 1.5-188.8; p < 0.01) and incision type (OR, 11.1; 95% CI, 1.7-219.7; p < 0.007) as factors independently associated with wound pain.
conclusionsIn RARP, vertical camera port incisions were associated with less postoperative wound pain and comparable wound satisfaction during the early postoperative period. From the perspective of surgical invasiveness, a vertical camera port incision may therefore be recommended for RARP.
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