Robotic Assisted Laparoscopic Prostatectomy Performed after Previous Suprapubic Prostatectomy

Area of Science:

• Urology
• Surgical Oncology
• Robotic Surgery

Background:

• Prostate cancer management in patients with prior abdominal surgery is complex.
• Previous open suprapubic simple prostatectomy can alter pelvic anatomy, complicating subsequent procedures.

Purpose of the Study:

• To describe the operative management of prostate cancer in a patient with a history of open suprapubic simple prostatectomy.
• To highlight the feasibility and success of robot-assisted laparoscopic radical prostatectomy in this challenging scenario.

Main Methods:

• Case report of an intermediate-risk prostate cancer patient.
• Utilized MRI fusion biopsy for accurate diagnosis.
• Performed robot-assisted laparoscopic radical prostatectomy.

Main Results:

• The patient had intermediate-risk Gleason 7 prostate cancer.
• Underwent robot-assisted laparoscopic radical prostatectomy.
• The procedure was uncomplicated.

Conclusions:

• Robot-assisted laparoscopic radical prostatectomy is a viable option for managing prostate cancer in select patients with prior suprapubic simple prostatectomy.
• Careful preoperative planning and surgical expertise are crucial for successful outcomes in these complex cases.