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Updated: Dec 25, 2025

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Robot-assisted simple prostatectomy versus open simple prostatectomy: a single-center comparison.

R Dotzauer1, A La Torre2, A Thomas2

  • 1Department of Urology, University Medical Center, Johannes Gutenberg University, Mainz, Germany. robert.dotzauer@unimedizin-mainz.de.

World Journal of Urology
|March 31, 2020
PubMed
Summary

Robot-assisted simple prostatectomy (RASP) is a safe alternative to open simple prostatectomy (OSP) for benign prostatic hyperplasia, showing fewer complications and shorter hospital stays. Further research is needed to determine the economic impact of each procedure.

Keywords:
Adenoma enucleationComplicationsMinimal invasive simple prostatectomyOutcome

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Open simple prostatectomy (OSP) is standard for large benign prostatic hyperplasia (BPH).
  • Robot-assisted simple prostatectomy (RASP) offers a minimally invasive alternative.
  • Standardized recommendations for RASP are lacking.

Purpose of the Study:

  • To compare clinical outcomes of RASP versus OSP.
  • To identify predictive factors for surgical outcomes in BPH treatment.

Main Methods:

  • Retrospective single-center study of 103 RASP and 31 OSP patients.
  • Comparison of clinical characteristics with and without propensity score matching.
  • Multivariate logistic regression analysis to identify independent predictors.

Main Results:

  • RASP showed lower estimated blood loss, fewer postoperative complications, and reduced need for blood transfusions.
  • OSP had shorter operative times, while RASP resulted in shorter hospital stays and faster catheter removal.
  • Multivariate analysis confirmed RASP as a predictor for improved outcomes (less blood loss, shorter stay, fewer complications).

Conclusions:

  • RASP is a safe alternative to OSP with reduced perioperative and postoperative morbidity.
  • Economic impact comparison between OSP and RASP is dependent on healthcare systems.
  • Further prospective studies are required to establish RASP's definitive value in BPH management.