Robot-Assisted Radical Prostatectomy for Large Glands and Median Lobe

  • Weil Lai
  • Uğur Boylu
  • Raju ThomasEmail author


Large prostates and median lobes can present challenging scenarios during robotic-assisted radical prostatectomy. They may complicate the performance of the bladder neck dissection. Median lobes may obscure identification of ureteral orifices and increase risk of ureteral injury and obstruction during urethrovesical anastomosis. Large prostates decrease the working space within the deep pelvis and may require reconstruction of the bladder neck. In this chapter, we discuss the management of large prostates, median lobes, and methods to reconstruct the large bladder neck.


Large prostate Median lobe Bladder neck reconstruction Prostatectomy Ureteral orifices Urethrovesical anastomosis Tennis racket closure 


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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of UrologyTulane University School of MedicineNew OrleansUSA
  2. 2.Department of UrologyUmraniye Teaching HospitalIstanbulTurkey

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