Journal of Robotic Surgery

, Volume 8, Issue 1, pp 81–83 | Cite as

Robotic-assisted laparoscopic simple prostatectomy and bladder diverticulectomy with temporary clamping of internal iliac arteries

  • F. Sergi
  • C. Falavolti
  • A. M. Bove
  • M. Buscarini
Case Report


The minimally invasive approach for benign prostatic hyperplasia (BPH) is replacing open surgery. Laparoscopic and robotic techniques have benefits in treatment of BPH especially for large prostatic adenoma. We present a case of laparoscopic robotic-assisted simple prostatectomy with bilateral transient occlusion of internal iliac arteries. This could be an optional surgical technique when a significant blood loss is expected, for example in patients with an estimated volume of BPH larger than 100 ml or in patients who cannot suspend antiaggregant therapy. In this case we temporarily occluded the internal iliac arteries bilaterally with Bulldog clamps and the adenoma was enucleated according to Sotelo’s laparoscopic robotic-assisted technique. We had optimal results in terms of intraoperative and postoperative outcomes.


Benign prostatic hyperplasia Robotic surgery Robotic vascular control Robotic-assisted laparoscopic simple prostatectomy 


Conflict of interest


Consent section

Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.


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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • F. Sergi
    • 1
  • C. Falavolti
    • 1
  • A. M. Bove
    • 1
  • M. Buscarini
    • 1
  1. 1.Department of UrologyCampus Bio-Medico University of RomeRomeItaly

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