V4-14 ROBOT ASSISTED MILLIN PROSTATECTOMY

Abstract

You have accessJournal of UrologyRobotics – Prostate/Novel Imaging1 Apr 2015V4-14 ROBOT ASSISTED MILLIN PROSTATECTOMY Giuseppe Simone, Rocco Papalia, Mariaconsiglia Ferriero, Riccardo Mastroianni, Salvatore Guaglianone, and Michele Gallucci Giuseppe SimoneGiuseppe Simone More articles by this author , Rocco PapaliaRocco Papalia More articles by this author , Mariaconsiglia FerrieroMariaconsiglia Ferriero More articles by this author , Riccardo MastroianniRiccardo Mastroianni More articles by this author , Salvatore GuaglianoneSalvatore Guaglianone More articles by this author , and Michele GallucciMichele Gallucci More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.726AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Robot assisted Millin prostatectomy has demonstrated to be an effective treatment for large benign prostate hyperplasia (BPH). This video highlights surgical steps of this procedure. METHODS With the patient in steep Trendelemburg position a 5 trocar access was performed. The prostate-bladder junction was identified; the ventral aspect of prostatic lobes was progressively dissected up to identify the apex and the urethra. The urethra was transected and the bladder catheter secured with an hem-o-lock. With a traction applied to the catheter the lateral and the posterior aspects of the lobes were isolated. The bladder neck was then transected and the posterior aspect of the lobes completely cleaved. Hemostasis of the prostatic fossa was obtained with monopolar coagulation and trigonization performed with a 2/0 monocryl running suture. Finally, the lateral and the ventral aspects of the bladder neck were approximated with the ventral and lateral aspects of the bladder neck, respectively. RESULTS Operative time was 75 minutes. Intraoperative estimated blood was 200 mL. The patient was discharged on first postoperative day and the urethral catheter was removed on 3rd postoperative day. Prostate weight was 85 grams. CONCLUSIONS Robot assisted Millin prostatectomy is a feasible technique that may be successfully applied to large BPH as alternative to endoscopic treatments. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e408 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Giuseppe Simone More articles by this author Rocco Papalia More articles by this author Mariaconsiglia Ferriero More articles by this author Riccardo Mastroianni More articles by this author Salvatore Guaglianone More articles by this author Michele Gallucci More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...