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Comparison of Robot-Assisted Versus Open Simple Prostatectomy for Benign Prostatic Hyperplasia

  • Benign Prostatic Hyperplasia (K McVary, Section Editor)
  • Published:
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Abstract

Purpose of Review

Recent advancements in minimally invasive approaches for prostate surgery have provided numerous options for surgical management of benign prostatic hyperplasia (BPH). In the setting of a large prostate, an open simple prostatectomy was previously considered the gold standard surgical treatment. However, the recently updated American Urological Association (AUA) guidelines on surgical management of BPH now consider both open and minimally invasive approaches to simple prostatectomy viable alternatives for treating large glands, depending on expertise with the techniques. The purpose of our review is to discuss the minimally invasive robot-assisted approach and compare it to the classic open approach to simple prostatectomy.

Recent Findings

Despite longer operative times, the robotic approach is associated with shorter hospital stay and lower morbidity profile. The morbidity of an open approach remains significant. Blood transfusions are 3–4 times as likely compared to a robotic approach and major complications are twice as likely. Consistent with previous literature, our review shows functional outcome improvements like flow rate and symptom score to be comparable between the robotic and open approach. The amount of adenoma resected and PSA decline is also similar among robotic and open cases.

Summary

Robot-assisted simple prostatectomy is a safe and effective procedure for BPH secondary to a large prostate gland. Appropriately, it is no longer deemed “investigational” by the latest AUA guidelines on BPH and recommended as an alternative to the open approach.

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Author information

Authors and Affiliations

  1. Division of Urology, Albany Medical Center, Albany, NY, USA

    Ankur A. Shah

  2. Department of Urology, UT Southwestern Medical Center, Dallas, TX, USA

    Jeffrey C. Gahan

  3. Department of Urology, University of Massachusetts, 119 Belmont St, Worcester, MA, 01605, USA

    Igor Sorokin

Authors
  1. Ankur A. Shah
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  2. Jeffrey C. Gahan
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  3. Igor Sorokin
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Corresponding author

Correspondence to Igor Sorokin.

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Conflict of Interest

Ankur A. Shah, Jeffrey C. Gahan, and Igor Sorokin each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Benign Prostatic Hyperplasia

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Shah, A.A., Gahan, J.C. & Sorokin, I. Comparison of Robot-Assisted Versus Open Simple Prostatectomy for Benign Prostatic Hyperplasia. Curr Urol Rep 19, 71 (2018). https://doi.org/10.1007/s11934-018-0820-1

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  • DOI: https://doi.org/10.1007/s11934-018-0820-1

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