V02-06: Combined transurethral enucleation of the prostate and robot assisted simple prostatectomy
Patients with large prostates >150 grams are traditionally treated with robot assisted simple prostatectomies in our institution, in the absence of a morcellation device. However, it is well known that the operative time of the robot simple prostatectomy is longer that transurethral enucleation and a higher incontinence rate compared to transurethral enucleation.
We describe our early technique and experience with a combined robot assisted simple prostatectomy and transurethral bipolar enucleation of the prostate.
Between January 2017 and June 2017, 5 patients have undergone combined approach and had at least 4 months of follow up. Average age was 69 (59-76), all patients were in preoperative urinary retention, and preoperative volume average was 194 grams (151-376). Average operating time was 121 minutes (100-155), there were no transfusions, there were no complications, average estimated blood blood loss was 75 ml (50-200), and the average path weight was 142 (51-395). Postoperatively, no patients had stress urinary incontinence, average international prostate symptom score was 3.8 (0-14), bother index was 0.8 (0-2) and average post operative post void residual was 2 ml (0-10)
Combined transurethral bipolar enucleation and robot assisted simple prostatectomy is a safe and feasible alternative to robot simple prostatectomy alone