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Single-Port Percutaneous Transvesical Simple Prostatectomy Using the SP Robotic System: Initial Clinical Experience.

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  • 1Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH.

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Single-port robotic simple prostatectomy offers a minimally invasive option for large prostates. This novel approach demonstrated successful outcomes with high patient satisfaction and no intraoperative complications.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) are common.
  • Traditional simple prostatectomy can be associated with significant morbidity.
  • Minimally invasive techniques are sought to improve patient outcomes.

Purpose of the Study:

  • To evaluate the initial experience and feasibility of single-port percutaneous transvesical simple prostatectomy (SP-TPSP).
  • To assess the safety and efficacy of a novel SP robotic surgical system for this procedure.

Main Methods:

  • Ten patients underwent SP-TPSP between February and November 2019.
  • Percutaneous bladder access was established for SP instrument insertion.
  • Prostate adenoma enucleation, hemostasis, and trigonization followed open surgical principles.

Main Results:

  • All procedures were completed successfully without conversion to open surgery.
  • Median operative time was 190 minutes with median blood loss of 100 ml.
  • Patients reported satisfaction with urinary flow post-catheter removal, with no acute urinary retention at 1-6 months.

Conclusions:

  • SP-TPSP is a viable alternative for managing LUTS from large prostate adenomas.
  • Potential advantages include sparing the peritoneal cavity and excellent visualization.
  • Further comparative studies are needed to validate outcomes against standard techniques.