Laparoscopic Simple Prostatectomy: A Single Center Experience with A Long-Term Follow Up

Area of Science:

• Urology
• Minimally Invasive Surgery

Background:

• Benign prostatic hyperplasia (BPH) is a common condition affecting older men.
• Large prostate volumes (≥ 80 mL) present surgical challenges.
• Laparoscopic simple prostatectomy (LSP) is an alternative to traditional open surgery.

Purpose of the Study:

• To evaluate the long-term efficacy and safety of LSP for large prostates.
• To assess functional outcomes and complication rates associated with LSP.

Main Methods:

• Retrospective analysis of 80 patients undergoing LSP between 2012 and 2019.
• Pre- and postoperative assessment of uroflowmetry, post-void residual volume, and quality of life questionnaires.
• Complication grading using the Clavien-Dindo classification.

Main Results:

• Mean follow-up of 40 months showed significant improvements in maximum flow rate (Qmax), International Prostate Symptom Score (IPSS), and quality of life (QoL).
• Post-void residual volumes significantly decreased.
• A complication rate of 13.8% was observed, with most being mild; one conversion to open surgery and one intraoperative blood transfusion occurred.

Conclusions:

• Laparoscopic simple prostatectomy is a safe and effective treatment for large prostate glands.
• The procedure provides significant and stable long-term improvement in BPH symptoms.
• LSP offers a minimally invasive option with favorable functional outcomes.