Robot-Assisted Simple Prostatectomy
The surgical management for severely enlarged prostate glands (generally >80 g) in men with symptomatic BPH remains a challenge. Simple prostatectomy is considered the standard of care, if laser enucleation or vaporisation is not available. Although open simple prostatectomy is an effective and durable treatment option, it is associated with the risk of severe bleeding, transfusion and prolonged hospital length of stay. The retropubic transvesical technique (Freyer, Br Med J 2:868, 1912) and the suprapubic transcapsular operation (Millin et al. Lancet 1:381–385, 1949) are still widely accepted as the gold standard. However, the blunt dissection of the adenoma from the capsule, especially in the apical and sphincteral areas makes this procedure very invasive. Therefore minimal invasive approaches have been introduced as laser techniques, conventional laparoscopy and robotic assisted technology.
- 27.Pokorny M, Novara G, Geurts N, Dovey Z, De Groote R, Ploumidis A, 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