Endoscopic simple prostatectomy

Abstract

IntroductionMany options exist for the surgical treatment of lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH), including transurethral resection of the prostate (TURP), laser surgery, and open adenomectomy. Recently, endoscopic techniques have been used in the treatment of BPH.Material and methodsWe reviewed clinical studies in PubMed describing minimally invasive endoscopic procedures for the treatment of BPH.ResultsLaparoscopic adenomectomy (LA) and robotic–assisted simple prostatectomy (RASP) were introduced in the early 2000s. These operative techniques have been standardized and reproducible, with some individual modifications. Studies analyzing the outcomes of LA and RASP have reported significant improvements in urinary flow and decreases in patient International Prostate Symptom Score (IPSS). These minimally invasive approaches have resulted in a lower rate of complications, shorter hospital stays, smaller scars, faster recoveries, and an earlier return to work.ConclusionsMinimally invasive techniques such as LA and RASP for the treatment BPH are safe, efficacious, and allow faster recovery. These procedures have a short learning curve and offer new options for the surgeon treating BPH.

Comparison of Perioperative Outcomes Between Holmium Laser Enucleation of the Prostate and Robot-Assisted Simple Prostatectomy

“…While no studies exist to establish the learning curve for RSP, 5-10 cases are estimated for a surrogate -laparoscopic simple prostatectomy after familiarity with laparoscopic procedures. 17 The learning curve for laparoscopic and robotic radical prostatectomy is reported to be 350 and 100 cases respectively. 18…”

Sequential transurethral enucleation of the prostate and laparoscopic bladder diverticulectomy

“…Laparoscopic adenomectomy (LA) and robotic-assisted simple prostatectomy (RASP) were introduced in the early 2000s, and the feasibility and safety of these techniques have been well documented (13)(14)(15). However, the application of the endoscopic approach for the simple prostatectomy (SP) still needs good skills and advanced instruments.…”

Endoscopische transvesicale adenomectomie van de prostaat (ETAP). Resultaten van de eerste 17 patiënten in een perifeer ziekenhuis

“…In vergelijking met de literatuur over de open operatietechniek is in onze serie het perioperatieve bloedverlies minder (555 vs. 179 ml) en de opname korter (7,4 vs. 6,8 dagen), terwijl de postoperatieve functionele resultaten vergelijkbaar zijn [23,24]. De afname in bloedverlies is gerelateerd aan de minimaal invasieve benadering en doordat de techniek gaandeweg verder is verfijnd.…”