Robotic-assisted radical prostatectomy using the Toumai system: initial single-center experience in Morocco

Area of Science:

• Urology
• Robotic Surgery
• Surgical Technology

Background:

• Robotic surgery is expanding in Morocco, particularly in urology.
• Robot-assisted radical prostatectomy (RARP) offers potential benefits for prostate cancer treatment.

Purpose of the Study:

• To evaluate the feasibility, safety, and early outcomes of RARP using the novel Toumai MT-1000 system.
• To assess perioperative, pathological, and functional results in a Moroccan tertiary care setting.

Main Methods:

• Prospective study of 132 consecutive patients undergoing RARP with the Toumai system.
• Standardized transperitoneal anterior approach performed by a single experienced surgeon.
• Analysis of perioperative data, pathological outcomes, and early functional results (continence, potency) with a minimum 3-month follow-up.

Main Results:

• Median operative time was 155 minutes with a median blood loss of 126 mL.
• Low rates of complications (6%) and positive surgical margins (6%).
• Continence rates reached 92% at 3 months; 35% of assessed patients achieved potency (IIEF-5 score ≥17) at 3 months.

Conclusions:

• Toumai-assisted RARP is feasible in a high-volume Moroccan center.
• Early functional outcomes are encouraging, suggesting the system's potential.
• Preliminary findings necessitate multicenter studies with longer follow-up for confirmation.