
A systematic review and meta-analysis were conducted to assess the outcomes of radical prostatectomy (RP) in men who had undergone surgery for lower urinary tract symptoms related to benign prostatic enlargement (LUTS/BPE). The analysis included 25 retrospective studies with a total of 11,101 patients. It was found that patients with a history of LUTS/BPE surgery had a higher incidence of positive surgical margins (PSM) and lower urinary continence (UC) rates at 3 months and 1 year after RP. There was no significant difference in terms of biochemical recurrence (BCR) between the two groups. Additionally, patients with a history of LUTS/BPE surgery had lower rates of erectile function (EF) recovery at 1 year. These findings suggest that RP in patients with a history of LUTS/BPE surgery may have poorer oncological and functional outcomes compared to those without such a history.
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