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Robotic-assisted simple prostatectomy after prostatic arterial embolization for large benign prostate hyperplasia:
Sung-Chul Kam1, Jung-Won Park2, Myung-Ki Kim3
1Department of Urology, Gyeongsang National University Medical School, lnstitute of Health Sciences of Gyeongsang National University, Gyeongsang National University Changwon Hospital, Changwon, Korea.
Prostate International
|October 13, 2022
Summary
Robot-assisted simple prostatectomy (RASP) following prostatic arterial embolization (PAE) is a safe and effective treatment for large benign prostatic hyperplasia (BPH). This combined approach significantly improves urinary symptoms and quality of life for patients.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Interventional Radiology
Background:
- Benign prostatic hyperplasia (BPH) affects a large number of men, often requiring surgical intervention.
- Large prostate volumes present unique challenges for traditional surgical approaches.
- Prostatic arterial embolization (PAE) is an emerging minimally invasive treatment for BPH.
Purpose of the Study:
- To evaluate the safety and efficacy of robot-assisted simple prostatectomy (RASP) after PAE in patients with large BPH.
- To assess the impact of this combined treatment on lower urinary tract symptoms (LUTS).
Main Methods:
- A retrospective study of 11 patients with large BPH who underwent PAE followed by RASP.
- Data collected included International Prostate Symptom Scores (IPSS), prostate-specific antigen (PSA), peak urinary flow rate (Qmax), voided volume (Vvol), and postvoid residual volume (PVR).
- Measurements were taken before PAE and three months after RASP.
Main Results:
- RASP after PAE was successfully performed in all patients.
- Significant improvements were observed in IPSS and PVR.
- Qmax and Vvol showed substantial enhancement post-procedure.
- Mean prostate volume was 129.7 mL, with a resected volume of 60.8 mL.
Conclusions:
- Robot-assisted simple prostatectomy following PAE is a safe and effective treatment option for large BPH.
- This combined approach offers significant symptomatic relief and functional improvement for patients.
