Skip to main content
SpringerLink
Log in

Surgical Treatment: Robotic Simple Prostatectomy

  • Chapter
  • First Online:
Book cover The Big Prostate

Abstract

Benign prostatic hyperplasia (BPH) is the most common cause of lower urinary tract symptoms (LUTS) in men; the treatment options for this condition have improved in the latest years but LUTS caused by very large prostatic adenoma (>100 g) remains a challenge. Currently, the field of medicine is increasingly incorporating technologies in their clinical practice in order to minimize the surgical invasion, aiming to improve outcomes and decrease complication rates. In sequence, we will describe the main steps of transperitoneal robotic assisted simple prostatectomy (RASP), tips and tricks based on our personal experience and will discuss the main data available in the literature about the topic.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Wei JT, Calhoun E, Jacobsen SJ. Urologic diseases in America project: benign prostatic hyperplasia. J Urol. 2008;179:S75–80.

    Article  PubMed  Google Scholar 

  2. Irwin DE, Kopp ZS, Agatep B, Milsom I, Abrams P. Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction. BJU Int. 2011;108:1132–8.

    Article  PubMed  Google Scholar 

  3. Kupelian V, Fitzgerald MP, Kaplan SA, Norgaard JP, Chiu GR, Rosen RC. Association of nocturia and mortality: results from the Third National Health and Nutrition Examination Survey. J Urol. 2011;185:571–7.

    Article  PubMed  Google Scholar 

  4. Groves HK, Chang D, Palazzi K, Cohen S, Parsons JK. The incidence of acute urinary retention secondary to BPH is increasing among California men. Prostate Cancer Prostatic Dis. 2013;16:260–5.

    Article  CAS  PubMed  Google Scholar 

  5. McVary KT, Roehrborn CG, Avins AL, Barry MJ, Bruskewitz RC, Donnell RF, et al. Update on AUA guideline on the management of the benign prostatic hyperplasia. J Urol. 2011;185:1793–803.

    Article  PubMed  Google Scholar 

  6. Oelke M, Bachmann A, Descazeaud A, Emberton M, Gravas S, Michel MC, et al. EAU guidelines on treatment and follow-up of the non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction. Eur Urol. 2013;63:118–40.

    Article  Google Scholar 

  7. Freyer PJ. One thousand cases of total enucleation of the prostate for radical cure of enlargement of that organ. Br Med J. 1912;2:868–70.

    Article  Google Scholar 

  8. Millin R. Retropubic prostatectomy: new extravesical technique: report on 20 cases. Lancet. 1945;2:693–6.

    Article  CAS  PubMed  Google Scholar 

  9. Serretta V, Morgia G, Fondacaro L, Curto G, Lo Bianco A, Pirritano D, et al. Open prostatectomy for benign prostatic enlargement in Southern Europe in the late 1900s: a contemporary series of the 1800 interventions. Urology. 2002;60(4):623–7.

    Article  PubMed  Google Scholar 

  10. Gratzke C, Schlenker B, Seitz M, Karl A, Hermanek P, Lack N, et al. Complications and early postoperative outcome after open prostatectomy in patients with benign prostatic enlargement: results of a prospective multicenter study. J Urol. 2007;177(4):1419–22.

    Article  PubMed  Google Scholar 

  11. Suer E, Gokce I, Yaman O, Anafarta K, Göğüş O. Open prostatectomy is still a valid option for the large prostates: a high-volume, single-center experience. Urology. 2008;72(1):90–4.

    Article  PubMed  Google Scholar 

  12. Mariano MB, Graziottin TM, Tefilli MV. Laparoscopic prostatectomy with vascular control for benign prostatic hyperplasia. J Urol. 2002;167:2528–9.

    Article  PubMed  Google Scholar 

  13. Sotelo R, Clavijo R, Carmona O, Garcia A, Banda E, Miranda M, et al. Robotic simple prostatectomy. J Urol. 2008;179:513–5.

    Article  PubMed  Google Scholar 

  14. Parsons JK, Patel ND. Robotic-assisted simple prostatectomy: Is there evidence to go beyond the experimental stage? Curr Urol Rep. 2014;15:443–7.

    Article  PubMed  Google Scholar 

  15. Patel MN, Hemal AK. Robot-assisted laparoscopic simple anatomic prostatectomy. Urol Clin North Am. 2014;41(4):485–92.

    Article  PubMed  Google Scholar 

  16. Coelho RF, Chauhan S, Sivaraman A, Palmer KJ, Orvieto MA, Rocco B, et al. Modified technique of robotic-assisted simple prostatectomy: advantages of a vesico-urethral anastomosis. BJUI. 2011;109:426–33.

    Article  Google Scholar 

  17. Sutherland DE, Perez DS, Weeks DC. Robot-assisted simple prostatectomy for severe benign prostatic hyperplasia. J Endourol. 2011;25:641–4.

    Article  PubMed  Google Scholar 

  18. Banapour P, Patel N, Kane CJ, Cohen SA, Parsons JK. Robotic-assisted simple prostatectomy: a systematic review and report of a single institution case series. Prostate Cancer Prostatic Dis. 2014;17:1–5.

    Article  CAS  PubMed  Google Scholar 

  19. Leslie S, Abreu AL, Chopra S, Ramos P, Park D, Berger AK, et al. Transvesical robotic simple prostatectomy: initial clinical experience. Eur Urol. 2014;66(2):321–9.

    Article  PubMed  Google Scholar 

  20. Dubey D, Hemal AK. Robotic-assisted simple prostatectomy with complete urethrovesical reconstruction. Indian J Urol. 2012;28(2):231–2.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Lucca IH, Shariat S, Hofbauer S, Klatte T. Outcomes of minimally invasive simple prostatectomy for benign prostatic hyperplasia: a systematic review and meta-analysis. World J Urol. 2015;33:563–70.

    Article  PubMed  Google Scholar 

  22. Abboudi H, Khan MS, Guru KA, Froghi S, de Win G, Van Poppel H et al. Learning curves for urological procedures: a systematic review. BJU Int 2013;114(4):617–29.

    Google Scholar 

  23. Pokorny M, Novara G, Geurts N, Dovey Z, 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;68:451–7.

    Article  PubMed  Google Scholar 

  24. Yuh B, Laungani R, Perlmutter A, Eun D, Peabody JO, Mohler JL, et al. Robot-assisted Millin’s retropubic prostatectomy: case series. Can J Urol. 2008;15:4101–5.

    PubMed  Google Scholar 

  25. Holden M, Parsons JK. Robotic-assisted simple prostatectomy: an overview. Urol Clin North Am. 2016;43(3):385–91.

    Article  PubMed  Google Scholar 

  26. Parsons JK, Rangarajan S, Palazzi K, Chang D. A national, comparative analysis of perioeperative outcomes of open and minimally invasive simple prostatectomy. J Endourol. 2015;29:919–24.

    Article  PubMed  Google Scholar 

  27. Autorino R, Zargar H, Mariano MB, Sanchez-Salas R, Sotelo R, Chlosta PL, et al. Perioperative outcomes of robotic and laparoscopic simple prostatectomy: a European-American Multi-institucional analysis. Eur Urol. 2015;68:86–94.

    Article  PubMed  Google Scholar 

  28. Martin RC 2nd, Brennan MF, Jaques DP. Quality of complication reporting in the surgical literature. Ann Surg. 2002;235:803–13.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Porpiglia F, Terrone C, Renard J, Grande S, Musso F, Cossu M, et al. Transcapsular adenomectomy (Millin): a comparative study, extraperitoneal laparoscopy versus open surgery. Eur Urol. 2006;49(1):120–6.

    Article  PubMed  Google Scholar 

  30. McCullough TC, Heldwein FL, Soon SJ, Galiano M, Barret E, Cathelineau X, et al. Laparoscopic versus open simple prostatectomy: an evaluation of morbidity. J Endourol. 2009;23(1):129–33.

    Article  PubMed  Google Scholar 

  31. Baumert H, Ballaro A, Dugardin F, Kaisary AV. Laparoscopic versus open simple prostatectomy: a comparative study. J Urol. 2006;175(5):1691–4.

    Article  CAS  PubMed  Google Scholar 

  32. Garcia-Segui A, Gascón-Mir M. Comparative study between laparoscopic extraperitoneal and open adenomectomy. Actas Urol Esp. 2012;36(2):110–6.

    Article  CAS  PubMed  Google Scholar 

  33. Umari P, Fossati N, Gandaglia G, Pokorny M, Groot RD, Geurts N, et al. Robotic Assisted Simple Prostatectomy (RASP) versus Holmium Laser Enucleation of the Prostate (HoLEP) for lower urinary tract symptoms in patients with large prostate (>100mL): a comparative analysis from a high-volume center. J Urol 2016;197(4):1108–14.

    Google Scholar 

  34. Ahmed K, Ibrahim A, Wang TT, Khan N, Challacombe B, Khan MS, et al. Assessing the cost effectiveness of robotics in urological surgery—a systematic review. BJU Int. 2012;110:1544–56.

    Article  PubMed  Google Scholar 

  35. Matei DV, Brascia A, Mazzoleni F, Spinelli M, Musi G, Melegari S, et al. Robotic-assisted simple prostatectomy (RASP): does it make sense? BJU Int. 2012;110:E972–9.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of São Paulo School of Medicine, São Paulo, Brazil

    Paulo Afonso de Carvalho & Rafael Ferreira Coelho

Authors
  1. Paulo Afonso de Carvalho
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rafael Ferreira Coelho
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Paulo Afonso de Carvalho .

Editor information

Editors and Affiliations

  1. University College London & University College London Hospital, London, United Kingdom

    Veeru Kasivisvanathan

  2. Guy’s and St Thomas’s Hospitals NHS Foundation Trust, London, United Kingdom

    Ben Challacombe

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Cite this chapter

de Carvalho, P.A., Coelho, R.F. (2018). Surgical Treatment: Robotic Simple Prostatectomy. In: Kasivisvanathan, V., Challacombe, B. (eds) The Big Prostate. Springer, Cham. https://doi.org/10.1007/978-3-319-64704-3_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-64704-3_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64703-6

  • Online ISBN: 978-3-319-64704-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation