From open simple to robotic-assisted simple prostatectomy (RASP) for large benign prostate hyperplasia: the time has...

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.

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.