Abstract
INTRODUCTION AND OBJECTIVES:To compare early outcomes of a reconstructive technical modification for robotic-assisted simple prostatectomy (RASP) with those of conventional trigonization approach.METHODS:In a prospective and random model, 20 men who underwent to BPH surgical treatment were allocated in two groups (RASP and TST-RASP). Demographic and preoperative data (including IPSS and Flowmetry scores) were collected.The procedures were carried-out using the Si da Vinci Robotic System (Intuitive Surgical). Through a five-trocars transperitoneal access, we perform a longitudinal incision of the bladder wall and prostate capsule and the removal of prostatic adenoma in both groups. Next, using a three-steps reconstructive technique, a 360 trigonization of the bladder mucosa was proposed in TST-RASP group (Tunnel-Shaped Trigonization) rather than classic trigonization (RASP group). The TST enrolls the advancement of a bladder mucosa flap until the prostatic urethra (first step) followed by a running suture ...
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