Robot-Assisted Simple Prostatectomy

  • Daniel Melecchi Freitas
  • Nariman Ahmadi
  • Sameer Chopra
  • Monish AronEmail author


In the growing number of options in the management of benign prostatic hyperplasia, robotic-assisted simple prostatectomy has gained significant momentum in recent years. Since the first report in 2008, confirming the feasibility and safety of this treatment modality, several other techniques and modifications have been described. In this chapter, we mainly focus on our institution’s current operative technique of robotic simple prostatectomy and provide a brief review of a few alternative approaches within the literature.


Prostatectomy Hyperplasia Robotic Robot-assisted Adenoma 


  1. 1.
    Baumert H, Ballaro A, Dugardin F, et al. Laparoscopic versus open simple prostatectomy: a comparative study. J Urol. 2006;175(5):1691–4.CrossRefPubMedGoogle Scholar
  2. 2.
    McCullough TC, Heldwein FL, Soon SJ, et al. Laparoscopic versus open simple prostatectomy: an evaluation of morbidity. J Endourol. 2009;23(1):129–33.CrossRefPubMedGoogle Scholar
  3. 3.
    Sotelo R, Clavijo R, Carmona O, et al. Robotic simple prostatectomy. J Urol. 2008;179(2):513–5.CrossRefPubMedGoogle Scholar
  4. 4.
    Banapour P, Patel N, Kane CJ, et al. Robotic-assisted simple prostatectomy: a systematic review and report of a single institution case series. Prostate Cancer Prostatic Dis. 2014;17(1):1–5.CrossRefPubMedGoogle Scholar
  5. 5.
    Autorino R, Zargar H, Mariano MB, et al. Perioperative outcomes of robotic and laparoscopic simple prostatectomy: a European-American multi-institutional analysis. Eur Urol. 2015;68(1):86–94.CrossRefPubMedGoogle Scholar
  6. 6.
    Leslie S, Abreu AL, Chopra S, et al. Transvesical robotic simple prostatectomy: initial clinical experience. Eur Urol. 2014;66(2):321–9.CrossRefPubMedGoogle Scholar
  7. 7.
    Taub DA, Wei JT. The economics of benign prostatic hyperplasia and lower urinary tract symptoms in the United States. Curr Urol Rep. 2006;7(4):272–81.CrossRefPubMedGoogle Scholar
  8. 8.
    Pokorny M, Novara G, Geurts N, et al. Robot-assisted simple prostatectomy for treatment of lower urinary tract symptoms secondary to benign prostatic enlargement: surgical technique and outcomes in a high-volume robotic centre. Eur Urol. 2015;68(3):451–7.CrossRefPubMedGoogle Scholar
  9. 9.
    Coelho RF, Chauhan S, Sivaraman A, et al. Modified technique of robotic-assisted simple prostatectomy: advantages of a vesico-urethral anastomosis. BJU Int. 2012;109(3):426–33.CrossRefPubMedGoogle Scholar
  10. 10.
    Stolzenburg JU, Kallidonis P, Qazi H, et al. Extraperitoneal approach for robotic-assisted simple prostatectomy. Urology. 2014;84(5):1099–105.CrossRefPubMedGoogle Scholar
  11. 11.
    Yuh B, Laungani R, Perlmutter A, et al. Robot-assisted Millin's retropubic prostatectomy: case series. Can J Urol. 2008;15(3):4101–5.PubMedGoogle Scholar
  12. 12.
    Sutherland DE, Perez DS, Weeks DC. Robot-assisted simple prostatectomy for severe benign prostatic hyperplasia. J Endourol. 2011;25(4):641–4.CrossRefPubMedGoogle Scholar
  13. 13.
    Fareed K, Zaytoun OM, Autorino R, et al. Robotic single port suprapubic transvesical enucleation of the prostate (R-STEP): initial experience. BJU Int. 2012;110(5):732–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Clavijo R, Carmona O, De Andrade R, et al. Robot-assisted intrafascial simple prostatectomy: novel technique. J Endourol. 2013;27(3):328–32.CrossRefPubMedGoogle Scholar
  15. 15.
    Martin Garzon OD, Azhar RA, Brunacci L, et al. One-year outcome comparison of laparoscopic, robotic, and robotic intrafascial simple prostatectomy for benign prostatic hyperplasia. J Endourol. 2016;30(3):312–8.CrossRefPubMedGoogle Scholar
  16. 16.
    Varkarakis I, Kyriakakis Z, Delis A, et al. Long-term results of open transvesical prostatectomy from a contemporary series of patients. Urology. 2004;64(2):306–10.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Daniel Melecchi Freitas
    • 1
  • Nariman Ahmadi
    • 1
  • Sameer Chopra
    • 1
  • Monish Aron
    • 1
    Email author
  1. 1.Catherine and Joseph Aresty Department of Urology, USC Institute of Urology, Keck School of MedicineUniversity of Southern CaliforniaLos AngelesUSA

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