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Current Urology Reports
Published in: Current Urology Reports 10/2014

01-10-2014 | Benign Prostatic Hyperplasia (K McVary, Section Editor)

Robotic-Assisted Simple Prostatectomy: Is there Evidence to go Beyond the Experimental Stage?

Authors: Nishant D. Patel, J. Kellogg Parsons

Published in: Current Urology Reports | Issue 10/2014

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Abstract

Open simple prostatectomy (OSP) is an effective and durable treatment for select patients with symptomatic benign prostatic hyperplasia (BPH) and large-volume prostate glands (>80 cc), yet is associated with clinically significant risk of bleeding, transfusion, prolonged hospital length of stay (LOS), and complications. Robotic-assisted simple prostatectomy (RASP) potentially reduces intraoperative blood loss and improves perioperative outcomes. Thirteen non-comparative series (Level 3 evidence) of RASP have established its safety and efficacy and have demonstrated substantially decreased risk of transfusion, complications, and mean LOS relative to published series of OSP, but with consistently longer operative times. Comparative outcomes data (Level 1 and Level 2 evidence), however, are relatively lacking. Thus, while RASP has advanced beyond the experimental stage, definitive outcomes studies are needed to establish its benefits and costs relative to OSP and transurethral surgery.
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Metadata
Title
Robotic-Assisted Simple Prostatectomy: Is there Evidence to go Beyond the Experimental Stage?
Authors
Nishant D. Patel
J. Kellogg Parsons
Publication date
01-10-2014
Publisher
Springer US
Published in
Current Urology Reports / Issue 10/2014
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-014-0443-0

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