World Journal of Urology

, Volume 24, Issue 6, pp 668–675 | Cite as

Complications of endoscopic extraperitoneal radical prostatectomy (EERPE): prevention and management

  • Jens-Uwe Stolzenburg
  • Robert Rabenalt
  • Minh Do
  • Benjamin Lee
  • Michael C. Truss
  • Alan McNeill
  • Martin Burchardt
  • Udo Jonas
  • Evangelos N. Liatsikos
Original Article


Endoscopic extraperitoneal radical prostatectomy (EERPE) is a further advancement of minimal invasive surgery as it overcomes the limitations of laparoscopic (transperitoneal) RPE by the strictly extraperitoneal route of access combining the advantages of minimal invasive surgery with the advantages of an extraperitoneal procedure. Endoscopic extraperitoneal radical prostatectomy has many advantages but is not without complications. The aim of this review article is to describe the most common complications of this procedure. Complications associated with endoscopic extraperitoneal radical prostatectomy are: vascular injury—bleeding—haematoma, bowel injury, lymphocele, injury to the bladder—ureter, port site hernia, anastomotic leakage—stricture, obturator nerve injury—paralysis, gas embolism, catheter blockage, and miscellaneous like perineal pain, pubic osteitis, infection- urosepsis. The present review paper focuses on the identification and management of these complications The incidence of most complications directly correlates with the surgeons’ experience, and the various complications are related to technical errors rather than to the technique itself. The laparoscopist performing endoscopic/ laparoscopic radical prostatectomy should be aware of all these complications. He should be able to recognise promptly, treat efficiently, and ideally prevent these complications.


Endoscopic extraperitoneal radical prostatectomy Complications Prevention Management Prostate cancer 


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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Jens-Uwe Stolzenburg
    • 1
  • Robert Rabenalt
    • 1
  • Minh Do
    • 1
  • Benjamin Lee
    • 2
  • Michael C. Truss
    • 3
  • Alan McNeill
    • 4
  • Martin Burchardt
    • 5
  • Udo Jonas
    • 5
  • Evangelos N. Liatsikos
    • 6
  1. 1.Department of UrologyUniversity of LeipzigLeipzigGermany
  2. 2.Department of Urology, Albert Einstein College of MedicineLong Island Jewish Medical CenterNew YorkUSA
  3. 3.Department of UrologyKlinikum DortmundDortmundGermany
  4. 4.Department of UrologyWestern General HospitalEdinburghScotland
  5. 5.Department of UrologyMedizinische Hochschule HannoverHannoverGermany
  6. 6.Department of UrologyUniversity of PatrasPatrasGreece

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