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Robotic-Assisted Simple Prostatectomy: A Systematic Review.

Yakup Kordan1, Abdullah Erdem Canda1, Ersin Köseoğlu1

  • 1Department of Urology, School of Medicine, Koc University, Zeytinburnu, 34010 Istanbul, Turkey.

Journal of Clinical Medicine
|June 13, 2020
PubMed
Summary

Robotic-assisted simple prostatectomy (RASP) is a viable minimally invasive surgery for enlarged prostates causing male Lower Urinary Tract Symptoms (LUTS). It offers similar outcomes to other techniques with less blood loss and shorter hospital stays.

Keywords:
benign prostate hyperplasiamiminally invasive simple prostatectomyminimally invasive adenomectomyrobotic adenomectomyrobotic simple prostatectomy

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Minimally invasive surgical (MIS) options for large prostates (>80 mL) include laser techniques (HoLEP, ThuVEP) and simple prostatectomy (LSP, RASP).
  • Laser technologies involve high costs and a steep learning curve, favoring established laparoscopic or robotic programs for LSP and Robotic-Assisted Simple Prostatectomy (RASP).

Purpose of the Study:

  • To systematically review case and comparative series of Robotic-Assisted Simple Prostatectomy (RASP) for treating male Lower Urinary Tract Symptoms (LUTS) in men with enlarged prostates.

Main Methods:

  • Systematic review of published data from 2008 to 2020 on RASP.
  • Inclusion of 26 non-comparative and 9 comparative case series.

Main Results:

  • RASP demonstrates longer operative times but reduced hospital stays and blood loss compared to other techniques.
  • Outcomes including symptom improvement, post-voiding residual urine (PVR), PSA decline, complication rates, and cost are comparable to open and laser enucleation methods.

Conclusions:

  • Robotic-Assisted Simple Prostatectomy (RASP) is a feasible MIS treatment for LUTS due to BPH.
  • Further high-quality prospective, randomized controlled trials are necessary to validate these findings.