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

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.