Figure 1 - Bladder neck sparing robot-assisted simple prostatectomy
On review, the mean operative time was 108 minutes, mean estimated blood loss of 132 ml. There was no conversion to open. No patients required continuous bladder irrigation postop. 2 complications were reported, both were UTI within 30 days. The median length of stay was 1 day. The average prostate size treated was 62.6g. 97% of patients passed their trial of void. No patients reported incontinence following catheter removal. 37% of patients developed retrograde ejaculation. At a median follow-up of 16.5 months, no patients developed bladder neck contractures.
In conclusion, they demonstrated that bladder neck sparing simple prostatectomy is reproducible, minimally invasive procedure to treat benign prostatic enlargement with a low incidence of short- and long- term complications and improved functional outcomes as compared to an open approach.
Presented by Mohammed Shahait, MD, Department of Surgery, Division of Urology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
Written by Pengbo Jiang, MD, Department of Urology, University of California, Irvine, California at the 37th World Congress of Endourology (WCE) – October 29th-November 2nd, Abu Dhabi, United Arab Emirates