78 Modified technique of Robotic-Assisted Simple Prostatectomy (RASP): Advantages of a vesicourethral anastomosis

Robot-assisted Simple Prostatectomy for Treatment of Lower Urinary Tract Symptoms Secondary to Benign Prostatic Enlargement: Surgical Technique and Outcomes in a High-volume Robotic Centre

“…Although these findings might seem obvious, predictors of RASP complications have never been reported before and the findings might be useful for patient counseling and selection. Third, the median catheterization time (3 d) in our cohort compares favorably with those reported for OP series and many other smaller RASP series, for which catheterization time ranged from 4.8 to 13 d [10,11]. This reflects our policy to keep patients in hospital until early catheter removal and free voiding rather than being discharged with a catheter.…”

“…Following the widespread adoption of laparoscopic and, more commonly, robotic surgery for treatment of prostate cancer and other urologic disease, a number of centers have recently reported RASP series demonstrating favorable perioperative and functional outcomes [7][8][9][10][11][12][13]. However, most these series were very small (patient numbers ranging from 6 to 35) and results were presented for short followup.…”

“…Specifically, with the widespread adoption of robotic surgery for prostate cancer, urologists have become very accustomed to operating on the prostate in a laparoscopic environment, allowing a natural transition to simple prostatectomy for benign gland enlargement. A number of centers have reported small case series with perioperative and functional outcomes similar to HOLEP and OP [7][8][9][10][11][12][13].…”

Perioperative Outcomes of Robotic and Laparoscopic Simple Prostatectomy: A European–American Multi-institutional Analysis

“…Hemostasis in laparoscopic cases has been achieved with selective suturing of bleeders in the prostatic resection bed [18,19,21]. With the adoption of robot-assisted surgery, more complex suturing tasks have been explored, such as plication of the prostatic capsule or vesicourethral anastomosis [23,28].…”

“…RASP was also performed using a variety of techniques based on the same technical principles [12,[23][24][25][26][27][28][29]. In one center, an intrafascial technique was selectively used [28].…”