V1025 ROBOT-ASSISTED LAPAROSCOPIC SIMPLE PROSTATECTOMY AN INITIAL EXPERIENCE

Abstract

You have accessJournal of UrologyMale Voiding Dysfunction (BPH & Incontinence) & Infection1 Apr 2012V1025 ROBOT-ASSISTED LAPAROSCOPIC SIMPLE PROSTATECTOMY AN INITIAL EXPERIENCE Jeffrey Mullins and Misop Han Jeffrey MullinsJeffrey Mullins Baltimore, MD More articles by this author and Misop HanMisop Han Baltimore, MD More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1129AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Simple Prostatectomy is an effective treatment modality in men with severe lower urinary tract symptoms (LUTS) secondary to bladder outlet obstruction from a very large prostate (>75g). Retropubic robot-assisted laparoscopic simple prostatectomy (RALSP) has been reported as a minimally-invasive treatment option for these men with favorable peri-operative outcomes compared to traditional open simple prostatectomy. We report our initial experience with suprapubic RALSP for the treatment of men with severe LUTS secondary to obstruction from a very large prostate. METHODS 3 men age 57, 64, and 77 presented with severe LUTS secondary to obstruction from benign prostatic hyperplasia. All men had failed medical therapy with alpha-blockers and 5-alpha reductase inhibitors and requested definitive treatment. Prostate volumes measured by transrectal ultrasound were 104, 116, and 213 cubic centimeters. RESULTS All men underwent successful RALSP via a suprapubic approach. There were no intra-operative complications. Urinary diversion was achieved with a urethral catheter only. Operative times were 118, 155, and 327 minutes. Estimated blood loss was 100, 400, and 500 mL. The three men were discharged on post-operative days 1,2, and 3. Foley catheters were removed between 7 and 9 days post-operatively. All men were continent with a good urinary stream upon foley removal. CONCLUSIONS RALSP is a safe and feasible treatment modality for men with severe LUTS secondary to bladder outlet obstruction from a very large prostate. Estimated blood loss and length of hospital stay may compare favorably to traditional open simple prostatectomy. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e417 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jeffrey Mullins Baltimore, MD More articles by this author Misop Han Baltimore, MD More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...