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Single-port transvesical versus open simple prostatectomy: a perioperative comparative study.

Mahmoud Abou Zeinab1, Aaron Kaviani1, Ethan Ferguson1

  • 1Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.

Prostate Cancer and Prostatic Diseases
|July 19, 2022
PubMed
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Single-port transvesical simple prostatectomy (SP RASP) shows reduced blood loss, shorter hospital stays, and less opioid use compared to open simple prostatectomy (OSP) for benign prostatic hyperplasia (BPH). SP RASP offers a less morbid alternative for surgical BPH treatment.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Benign prostatic hyperplasia (BPH) is a common condition requiring surgical intervention.
  • Open simple prostatectomy (OSP) is a traditional surgical approach for BPH.
  • Minimally invasive techniques are increasingly explored to improve surgical outcomes.

Purpose of the Study:

  • To compare the initial perioperative outcomes of single-port transvesical simple prostatectomy (SP RASP) with open simple prostatectomy (OSP).
  • To evaluate the feasibility and initial results of the SP RASP technique.

Main Methods:

  • Prospective review of 42 patients undergoing SP RASP.
  • Retrospective review of 43 patients undergoing OSP.
  • Analysis of perioperative data including blood loss, irrigation, opioid use, hospital stay, and catheter duration.

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Main Results:

  • SP RASP demonstrated significantly less intraoperative blood loss, no need for continuous bladder irrigation, and reduced in-hospital opioid use compared to OSP.
  • Patients undergoing SP RASP had a shorter hospital stay (day 0 vs. 2 days) and a shorter Foley catheter duration (7 days vs. 10 days).
  • While the SP RASP group had fewer postoperative complications, this difference was not statistically significant.

Conclusions:

  • Single-port transvesical simple prostatectomy (SP RASP) is a viable alternative surgical approach for benign prostatic hyperplasia (BPH).
  • SP RASP may offer reduced perioperative morbidity compared to traditional open simple prostatectomy (OSP).
  • Further studies are warranted to confirm long-term outcomes and compare complication rates.