Journal of Robotic Surgery

, Volume 8, Issue 1, pp 85–88 | Cite as

Robot-assisted laparoscopic radical prostatectomy after previous open transvesical adenomectomy

  • Alfredo Maria Bove
  • Emanuela Altobelli
  • Federico Sergi
  • Maurizio Buscarini
Case Report



Robot-assisted laparoscopic radical prostatectomy (RALRP) is one of the best treatment for patients with localized prostate cancer. RALRP is currently performed in patients without previous surgical treatment for benign prostatic hyperplasia. This paper presents a successfully performed RALRP after previous open transvesical adenomectomy (TVA).

Case report

A 68-year-old patient underwent nerve-sparing RALRP for prostate cancer revealed by transrectal ultrasound guided prostate biopsy, 7 years after TVA.


Postoperatively, a regular diet was allowed on day 1. The Foley catheter was removed on day 7. At 3 months’ follow-up, the patient complained of moderate stress incontinence but erectile function was responsive to Tadalafil®. Serum prostate-specific antigen was undetectable. Quality of life was satisfactory.


A history of previous prostatic surgery does not appear to compromise the outcome of RALRP. Nerve sparing is still indicated. Long-term follow-up is necessary to define RALRP as a gold standard also in patients with previous TVA.


Robot-assisted laparoscopic radical prostatectomy Transvesical adenomectomy Robotic surgery Radical prostatectomy 


  1. 1.
    European Association of Urology: Prostate cancer Guidelines 2012 pg.45
  2. 2.
    Thornton AA, Perez MA, Oh S et al (2011) A prospective report of changes in prostate cancer related quality of life after robotic prostatectomy. J Psychosoc Oncol 29(2):157–167PubMedCrossRefGoogle Scholar
  3. 3.
    Guillonneau B, Vallancien G (2000) Laparoscopic radical prostatectomy: the Montsouris technique. J Urol 163:1643PubMedCrossRefGoogle Scholar
  4. 4.
    Link BA, Nelson R, Josephson DY et al (2008) The impact of prostate gland weight in robot assisted laparoscopic radical prostatectomy. J Urol 180:928PubMedCrossRefGoogle Scholar
  5. 5.
    Seckiner I, Yesilli C, Mungan NA, Aykanat A, Akduman B (2007) Correlations between the ICIQ-SF score and urodynamic findings. Neurourol Urodyn 26:492–494PubMedCrossRefGoogle Scholar
  6. 6.
    Talcott JA, Manola J, Clark JA et al (2003) Time course and predictors of symptoms after primary prostate cancer therapy. J Clin Oncol 21(21):3979–3986PubMedCrossRefGoogle Scholar
  7. 7.
    Clark JA, Talcott JA (2001) Symptom indexes to assess outcomes of treatment for early prostate cancer. Med Care 39(10):1118–1130PubMedCrossRefGoogle Scholar
  8. 8.
    Joly F, Brune D, Couette JE, Lesaunier F et al (1998) Health-related quality of life and sequelae in patients treated with brachytherapy and external beam irradiation for localized prostate cancer. Ann Oncol 9(7):751–757PubMedCrossRefGoogle Scholar
  9. 9.
    Jaffe J, Stakhovsky O, Cathelineau X, Barret E, Vallancien G, Rozetet F (2007) Surgical outcomes for men undergoing laparoscopic radical prostatectomy after transurethral resection of the prostate. J Urol 178:483–487PubMedCrossRefGoogle Scholar
  10. 10.
    Menard J, Taille A, Hoznek A et al (2008) Laparoscopic radical prostatectomy after transurethral resection of the prostate: surgical and functional outcomes. Urology 72:593–597PubMedCrossRefGoogle Scholar
  11. 11.
    Gupta NP, Sing P, Nayyar R (2011) Outcomes of robot-assisted radical prostatectomy in men with previous transurethral resection of prostate. BJUI 108:1501–1505CrossRefGoogle Scholar
  12. 12.
    Colombo R, Naspro R, Salonia A et al (2006) Radical prostatectomy after previous prostate surgery: clinical and functional outcomes. J Urol 176:2459–2463PubMedCrossRefGoogle Scholar
  13. 13.
    Martin AD, Desai PJ, Nunez RN, Martin GL, Andrews PE, Ferrigni RG, Swanson SK, Pacelli A, Castle E (2008) Does a history of previous surgery or radiation to the prostate affect outcomes of robot-assisted radical prostatectomy? BJUI 103:1696–1698CrossRefGoogle Scholar
  14. 14.
    Sanda MG, Dunn RL, Michalski J et al (2008) Quality of life and satisfaction with outcome among prostate cancer survivors. N Engl J Med 358(12):1250–1261PubMedCrossRefGoogle Scholar
  15. 15.
    Smith DS, Carvalhal GF, Schneider K et al (2000) Quality-of-life outcomes for men with prostate carcinoma detected by screening. Cancer 88(6):1454–1463PubMedCrossRefGoogle Scholar
  16. 16.
    Abel EJ, Masterson TA, Warner JN et al (2009) Nerve-sparing prostatectomy and urinary function: a prospective analysis using validated quality-of-life measures. Urology 73(6):1336–1340PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Alfredo Maria Bove
    • 1
  • Emanuela Altobelli
    • 1
  • Federico Sergi
    • 1
  • Maurizio Buscarini
    • 1
  1. 1.Department of Urology, Campus Bio-MedicoUniversity of RomeRomeItaly

Personalised recommendations