Robot-Assisted Simple Prostatectomy Using the Millin's, Frayer's, Posterior, and Complete Anatomic Techniques

Abstract

Abstract Introduction: Multiple surgical techniques can be employed to accomplish robotic simple prostatectomy. After having gone through our own experience of open, laparoscopic, and different robotic approaches, we developed complete anatomical robotic simple prostatectomy preserving bladder neck and complete vesicourethral anastomosis, which can supplant the traditional open simple prostatectomy at centers using robotic assistance. In this video, we the classically describe techniques for robotic simple prostatectomy and describe our technique for the anatomic approach. Materials and Methods: From May 2009 through 2015, a single surgeon performed robotic-assisted simple prostatectomy (RASP) on more than 30 patients, who were referred with large prostate glands not amenable to transurethral resection of the prostate. We performed robot-assisted simple prostatectomy using the traditional Millin's retropubic approach, the traditional Frayer's approach, the posterior approach, and our anatomic approach.1–3...