V1276: Robot Assisted Management of Benign Obstructing Large Prostate Glands Greater than 150gm

Video

Introduction and Objectives
Urologists perform over 500,000 invasive procedures annually for benign symptomatic urinary outflow obstruction. In general, transurethral resection with either bipolar/laser techniques are more than adequate. For glands larger than 150gm, the gold standard has been the open suprapubic approach. In this video, we present our techniques for a robot assisted suprapubic prostatectomy.

Methods
A single institution’s experience with robot assisted suprapubic prostatectomy for large benign prostate glands is presented. Techniques to facilitate this procedure such as use of the robotic tenaculum, management of a large median lobe, and identification and safeguarding of the ureteral orifices are discussed.

Results
There were no major perioperative or postoperative complications. Blood transfusions were not required. All patients were discharged on postoperative day one.

Conclusions
Robot-assisted suprapubic prostatectomy may prove to be a feasible alternative in the management of large volume benign prostate glands. Further evaluation and assessment is required to evaluate the long-term clinical application of this technique.

Funding: none