Morbidity of Laparoscopic Extraperitoneal versus Transperitoneal Radical Prostatectomy verus Open Retropubic Radical Prostatectomy

E-LRPE resulted in a significant subjective (VAS Score, p < 0.001) and objective (analgetic consumption, p < 0.001) pain reduction compared to T-LRPE, but only in VAS Score compared to O-RPE (p = 0.008). Analgetic consumption during first postoperative week was equal in E-LRPE (290 mg) and O-RPE (300 mg) (p = 0.550). Shorter operating times, lower urinary leakage rates, lower stricture rates and lower blood loss in E-LRPE compared to T-LRPE are mainly explained due to the long learning curve in LRPE, which we did not overcome yet, and not due to the approach (extraperitoneal versus transperitoneal).