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Robotic-assisted microsurgery in andrology: a systematic review.
Konstantinos Douroumis1,2, Eleftherios Spartalis1,3, Konstantinos Stravodimos1,2
1Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, National and Kapodistrian University of Athens, Medical School, Agiou Thoma 15b, Goudi, Athens 11527, Greece.
Asian Journal of Andrology
|January 19, 2023
Summary
Robot-assisted microsurgery shows promise in andrology, with robot-assisted vasovasostomy (RAVV) demonstrating excellent patency rates and aiding in complex cases. Further research is needed to integrate this technology into standard andrological practice.
Area of Science:
- Andrology
- Urology
- Surgical Robotics
Background:
- Robot-assisted surgery is a standard in urology.
- This review evaluates robotic applications in andrology.
- The study follows PRISMA and Cochrane guidelines.
Approach:
- Systematic search of PubMed and Cochrane Library.
- Qualitative analysis of 31 selected articles.
- Two authors reviewed all included studies.
Key Points:
- Robot-assisted vasovasostomy (RAVV) shows encouraging results with high patency rates, shorter operative times, and faster learning curves.
- RAVV may offer superior patency rates compared to traditional microsurgery.
- Robotic assistance is beneficial for iatrogenic vasal injuries and complex varicocelectomy or spermatic cord denervation.
Conclusions:
- Current evidence suggests potential advantages of robotic surgery in andrology.
- Robotic systems show feasibility for varicocelectomy and spermatic cord denervation.
- Large, multicenter randomized trials are necessary for widespread adoption in andrology.
