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Robot-Assisted Simple Prostatectomy

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Abstract

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.

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Authors and Affiliations

  1. Department of Urology, Kantonsspital Winterthur, Winterthur, Switzerland

    Christian Padevit & Hubert John

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  1. Christian Padevit
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  2. Hubert John
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Correspondence to Hubert John .

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Editors and Affiliations

  1. Department of Urology, Kantonsspital Winterthur, Winterthur, Switzerland

    Hubert John

  2. Department of Urology, Karolinska Institutet, Stockholm, Sweden

    Peter Wiklund

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Padevit, C., John, H. (2018). Robot-Assisted Simple Prostatectomy. In: John, H., Wiklund, P. (eds) Robotic Urology. Springer, Cham. https://doi.org/10.1007/978-3-319-65864-3_23

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  • DOI: https://doi.org/10.1007/978-3-319-65864-3_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65863-6

  • Online ISBN: 978-3-319-65864-3

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