Robot-assisted simple prostatectomy: multi-institutional outcomes for glands larger than 100 grams

Journal of Endourology
Anup VoraGaurav Bandi

Abstract

To present our experience with robot-assisted simple prostatectomy in patients with large gland adenoma (>100 g) that would not be amenable to transurethral treatments. From August 2009 to May 2011, 13 robot-assisted simple suprapubic prostatectomies were performed in patients with symptomatic large gland (>100 g) prostatomegaly on transrectal ultrasonography (mean 163 cc). Essential aspects of our technique include a transverse cystotomy just proximal to the prostatovesical junction and use of a robotic tenotomy grasper to aid in adenoma dissection. Mean operative time was 179 minutes (range 90-270 min), and mean estimated blood loss was 219 mL (range 50-500 mL). Mean hospital stay was 2.7 days (range 1-8 d), and the mean urethral catheterization time was 8.8 days (range 5-14 d). None of the patients needed blood transfusion. One patient had an intraoperative urinary leak after bladder closure that was managed with prolonged urethral catheterization (14 d). Histopathologic analysis confirmed benign prostatic hyperplasia (BPH) in all patients, and mean specimen weight on pathologic examination was 127 g (range 100-165 g). Mean follow-up duration was 7.2 months with all patients having a minimum of a 4-month follow-up. Significa...Continue Reading

References

Nov 1, 1996·Clinical Therapeutics·M A Kortt, J L Bootman
Jul 11, 2003·The Journal of Urology·UNKNOWN AUA Practice Guidelines Committee
Apr 8, 2006·The Journal of Urology·H BaumertA V Kaisary
Dec 14, 2007·The Journal of Urology·Rene SoteloRandy Fagin
Jan 6, 2009·Journal of Endourology·T Casey McCulloughFrançois Rozet
Feb 7, 2009·Urology·Hubert JohnJean-Luc Fehr
Jul 17, 2009·Urology·Rene J SoteloInderbir S Gill
May 1, 1947·Irish Journal of Medical Science·T MILLIN
Mar 30, 2010·BJU International·Mihir M DesaiRene Sotelo
Mar 19, 2011·Journal of Endourology·Douglas E SutherlandD Champ Weeks

❮ Previous
Next ❯

Citations

Dec 29, 2012·International Journal of General Medicine·Soichiro OgawaYoshiyuki Kojima
Dec 11, 2013·Prostate Cancer and Prostatic Diseases·P BanapourJ K Parsons
Jan 15, 2014·European Urology·Scott LeslieMonish Aron
Aug 15, 2014·Current Urology Reports·Nishant D Patel, J Kellogg Parsons
Oct 12, 2012·Current Urology Reports·Simon van Rij, Peter J Gilling
Jul 1, 2016·Prostate International·Octavio CastilloVincenzo Borgna
Dec 3, 2014·Urology·Jens-Uwe StolzenburgMinh Do
Jul 19, 2014·Actas urologicas españolas·A Garcia-SeguiJ C Angulo
Aug 1, 2016·The Urologic Clinics of North America·Marc Holden, J Kellogg Parsons
Oct 28, 2016·Der Urologe. Ausg. A·A Häcker, J W Thüroff
Mar 18, 2017·Current Urology Reports·Ross Cockrell, David I Lee
May 19, 2018·Journal of Endourology·Jens-Uwe StolzenburgEvangelos N Liatsikos
Aug 28, 2018·Arab Journal of Urology·Raj P Pal, Anthony J Koupparis
Jun 13, 2020·Journal of Clinical Medicine·Yakup KordanJean de la Rosette
Apr 7, 2020·International Neurourology Journal·Jeong Man ChoTag Keun Yoo
Oct 27, 2020·Current Urology Reports·Stephanie M Walker, Baris Turkbey

❮ Previous
Next ❯

Methods Mentioned

BETA
dissection

Software Mentioned

SPSS

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.