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Robotic Simple Prostatectomy

  • Carlos Eduardo Schio Fay
  • Sameer Chopra
  • Monish AronEmail author
Chapter

Abstract

Robotic simple prostatectomy (RSP) is an effective treatment option for patients requiring surgical treatment for large gland benign prostatic hyperplasia (BPH). It was first described in 2008, but its role in the surgical treatment of BPH has increased since 2012. The use of robotics provides magnified 3-D vision, tremor filtration, wristed instruments, and enhanced ergonomics. RSP is associated with reduced blood loss and fewer blood transfusions, lower reoperation rates, and a shorter hospital stay in comparison to open simple prostatectomy. In this chapter, we present the main steps of our technique of transperitoneal RSP.

Keywords

Robot-assisted Simple prostatectomy Prostatic adenoma Benign prostatic hyperplasia Robotics Prostate 

Abbreviations

BPH

Benign prostatic hyperplasia

CBI

Continuous bladder irrigation

DRE

Digital rectal exam

IPSS

International prostate symptom score

JP

Jackson–Pratt

LUTS

Lower urinary tract symptoms

OSP

Open simple prostatectomy

PSA

Prostate-specific antigen

RSP

Robotic simple prostatectomy

SHIM

Sexual health inventory for men

TRUS

Transrectal ultrasound

TURP

Transurethral resection of the prostate

UTI

Urinary tract infection

Supplementary material

Video 21.1

Patient positioning and port placement (MP4 256317 kb)

Video 21.2

Robot docking (MP4 176535 kb)

Video 21.3

Mobilization of the colon (MP4 262259 kb)

Video 21.4

Bladder cystotomy (MP4 271813 kb)

Video 21.5

Deploying the stay suture (MP4 273829 kb)

Video 21.6

Median lobe control and placement (MP4 305592 kb)

Video 21.7

Adenoma dissection (MP4 324443 kb)

Video 21.8

Hemostasis (MP4 255469 kb)

Video 21.9

Bladder closure (MP4 256862 kb)

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • Carlos Eduardo Schio Fay
    • 1
  • Sameer Chopra
    • 1
  • Monish Aron
    • 1
    Email author
  1. 1.Catherine & Joseph Aresty Department of Urology, USC Institute of Urology, Keck School of MedicineUniversity of Southern CaliforniaLos AngelesUSA

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