The Impact of Prostate Size, Median Lobe, and Prior Benign Prostatic Hyperplasia Intervention on Robot-Assisted Laparoscopic Prostatectomy: Technique and Outcomes

Urinary Symptoms After Robotic Prostatectomy in Men with Median Lobes

“…To date, most studies of RP in patients with MLE have focused largely on surgical technique and certain intraoperative parameters. 6,7 …”

Management of Large Median and Lateral Intravesical Lobes During Robot-Assisted Radical Prostatectomy

“…4,5 Although the presence of an IVPL does not impact functional or oncologic outcomes of RARP, 2-4,7 intraoperative recognition and proper management of it is essential to avoid potential complications such as cutting into the prostate, injuring the ureteral orifices, or buttonholing the bladder. [2][3][4][5][6][7] Various techniques to approach IVPLs have been described. Meeks and associates 4 passed a Carter-Thomason device (Inlet Medical Inc., Trumbull, CT) through an incision above the pubic symphysis to place a suture through the hole of the Foley catheter.…”

“…1 RARP can be challenging, however, if a large intravesical prostate lobe (IVPL) is encountered during bladder neck (BN) dissection. [2][3][4][5][6][7] In these cases, the recognition and management of the IVPL is crucial to ensure smooth and safe progression of the procedure and avoid complications, such as ureteral orifice injury, buttonholing the bladder, and cutting into the prostate. Some authors have described their technical strategies to manage an IVPL.…”

“…Some authors have described their technical strategies to manage an IVPL. [2][3][4][5][6][7] We present a simple and reliable technique to identify and treat patients with a large IVPL during RARP.…”

Economics of Robotic Surgery

“…However, with the rapid adoption of RALP, even the most challenging cases are now being done robotically. 57 …”