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Robot-Assisted Simple Prostatectomy: Expanding on an Established Operative Approach

  • Endourology (P Mucksavage, Section Editor)
  • Published:
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Abstract

Purpose of Review

The leading cause of voiding dysfunction in older men is benign prostatic obstruction. In the setting of a grossly enlarged prostate (>80cm3), an open simple prostatectomy has been the gold standard for surgical treatment. Here, we will discuss the minimally invasive robot-assisted approach and compare it to the classic open approach and holmium laser enucleation of the prostate.

Recent Findings

Literature on robot-assisted simple prostatectomy, in concurrence with our institutional experience, has shown an overall lower morbidity, shorter hospital stay, and decreased indwelling catheter time, with equivalent functional outcomes compared to open simple prostatectomy. Similar operative times and hospital stays were found compared to holmium laser enucleation of the prostate, although a steep learning curve and cost of new equipment hinder the wide spread use of this transurethral approach.

Summary

On review of current literature in addition to our institutional experience, we favor robot-assisted simple prostatectomy over open simple, based on associated increased morbidity/catheter time/hospital stay, and holium laser enucleation of the prostate, based on steep learning curve and cost of new equipment.

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Abbreviations

LUTS:

Lower urinary tract symptoms

BPO:

Benign prostatic obstruction

BPH:

Benign prostatic hyperplasia

OSP:

Open simple prostatectomy

RASP:

Robotic-assisted simple prostatectomy

HoLEP:

Holmium laser enucleation of the prostate

MISP:

Minimally invasive simple prostatectomy

DVC:

Dorsal venous complex

LOS:

Length of stay

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Authors and Affiliations

  1. University of Pennsylvania, 51 N 39th St., MOB 300, Philadelphia, PA, 19104, USA

    Ross Cockrell & David I. Lee

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  1. Ross Cockrell
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  2. David I. Lee
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Correspondence to David I. Lee.

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Ross Cockrell and David I. Lee declare no potential conflicts of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Endourology

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Cockrell, R., Lee, D.I. Robot-Assisted Simple Prostatectomy: Expanding on an Established Operative Approach. Curr Urol Rep 18, 37 (2017). https://doi.org/10.1007/s11934-017-0681-z

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  • DOI: https://doi.org/10.1007/s11934-017-0681-z

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