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Related Experiment Video

Updated: Nov 17, 2025

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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From open simple to robotic-assisted simple prostatectomy (RASP) for large benign prostate hyperplasia: the time has

H John1, Ch Wagner2, Ch Padevit3

  • 1Department of Urology, Kantonsspital Winterthur, 8400, Winterthur, Switzerland. hubert.john@ksw.ch.

World Journal of Urology
|February 12, 2021
PubMed
Summary
This summary is machine-generated.

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Robotic-assisted simple prostatectomy (RASP) offers a safe and effective alternative for treating large benign prostatic hyperplasia. This technique shows reduced blood loss and shorter hospital stays compared to open surgery.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Benign prostatic hyperplasia (BPH) is a common condition affecting aging men.
  • Traditional treatments for large prostates include open simple prostatectomy and endoscopic procedures.
  • Robotic-assisted simple prostatectomy (RASP) has emerged as a potential alternative.

Purpose of the Study:

  • To evaluate the development and clinical outcomes of RASP for large benign prostatic obstruction.
  • To compare RASP with open simple prostatectomy and endoscopic enucleation techniques.

Main Methods:

  • Systematic review and comparison of surgical techniques for RASP, open simple prostatectomy, and endoscopic enucleation.
  • Analysis of technical aspects and clinical outcomes, including blood loss, operative time, and hospital stay.
Keywords:
RASPRobotic-assistedSimple prostatectomy

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Main Results:

  • RASP demonstrates significantly less blood loss and shorter hospital stays than open simple prostatectomy.
  • RASP shows similar perioperative outcomes to endoscopic treatments but with reduced urethral trauma and fewer bladder neck strictures.
  • Concomitant bladder pathologies can be addressed during RASP.

Conclusions:

  • RASP is an effective and safe surgical option for managing obstructive large prostate glands.
  • RASP may become a preferred first-line therapy for patients with large BPH.
  • The technique offers advantages in terms of patient recovery and complication rates.