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Single-port robot-assisted simple prostatectomy: techniques and outcomes.

Francesco Ditonno^1,2, Antonio Franco^1,3, Celeste Manfredi^1,4

¹Department of Urology, Rush University Medical Center, 1725 W. Harrison Street, Suite 970, Chicago, IL, 60612, USA.

World Journal of Urology

|February 23, 2024

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Single-port robot-assisted simple prostatectomy (SP RASP) is a safe and effective surgical option for benign prostatic hyperplasia (BPH). This minimally invasive technique offers reduced blood loss, shorter hospital stays, and comparable outcomes to traditional methods.

Area of Science:

Urology
Minimally Invasive Surgery
Robotic Surgery

Background:

Benign prostatic hyperplasia (BPH) affects a significant number of men, often requiring surgical intervention.
Traditional surgical methods for BPH can involve substantial invasiveness and recovery times.
Advancements in robotic surgery offer potential for less invasive treatment options.

Purpose of the Study:

To detail the surgical techniques employed in single-port robot-assisted simple prostatectomy (SP RASP).
To analyze the surgical and functional outcomes associated with SP RASP for BPH treatment.
To evaluate SP RASP against other surgical approaches for BPH.

Main Methods:

A comprehensive literature search was conducted across PubMed, Web of Science, and Scopus.

Keywords:

Benign prostatic hyperplasia Review Robot-assisted simple prostatectomy Single Port

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Keywords were used to identify retrospective and prospective studies, including systematic reviews and meta-analyses.

Studies reporting on SP RASP techniques, surgical, and functional outcomes were included.

Main Results:

The transvesical approach is the most frequently used for SP RASP.
SP RASP demonstrated reduced estimated blood loss compared to open simple prostatectomy (OSP) and multi-port (MP) RASP.
Shorter hospital stays and lower complication rates were observed with SP RASP versus OSP, with comparable functional outcomes.

Conclusions:

Single-port robot-assisted simple prostatectomy (SP RASP) is a safe and feasible surgical management for BPH.
SP RASP achieves outcomes comparable to multi-port RASP, emphasizing minimal invasiveness.
This technique enhances patient recovery and holds potential for improved overall patient care in BPH treatment.