PURPOSE: To validate the feasibility of robot-assisted simple retropubic prostatectomy (RSP) for @entity1 with severe @entity1067 (>80   g). @entity1 AND METHODS: Institutional Review Board approval was not sought for this series. @entity1 were offered RSP by two surgeons with a combined experience of >350 robot-assisted radical prostatectomies. The RSP replicated previously published robotic and laparoscopic techniques. Postoperative management consisted of continuous bladder irrigation and closed suction pelvic drainage without suprapubic catheterization. RESULTS: A total of nine @entity1 were treated. Indications for RSP included urinary retention in three @entity1 , failed medical management in eight @entity1 , and refusal of medical management in one. Average age was 68 years, mean @entity1486 level was 17.4   ng/mL, and the average preoperative gland size (height-width-length volume) was 136.5   g (range 86-265   g). No operative or immediate @entity260 occurred, and no transfusions were needed. Average @entity190 , operative time, and console time were 206   mL, 183 minutes, and 147 minutes, respectively. Average pathologic @entity652 volume was 112   g (range 53-220   g). Average hospitalization time and catheterization time were 32 hours and 13 days, respectively. The mean preoperative International Prostate Symptom Score was 17.8 compared with 7.77 at 6 months postoperatively (P=0.0096, 95% CI 2.83 - 17.40), with a mean follow-up time of 9.25 months. The mean Sexual Health Inventory for @entity1 score was 12.7 preoperatively compared with 12.5 postoperatively (P=0.74, 95% confidence interval - 6.66-9.16). Persistent, severe @entity322 (4-6 pads per day) occurred in one @entity1 . CONCLUSIONS: RSP is safe and reproducible when performed by experienced robotic surgeons and provides similar benefits to those associated with robot-assisted radical prostatectomy. In our limited experience, hemostasis was markedly decreased when compared with the open technique. Further investigation is necessary before widespread application of RSP.

Robot-assisted simple prostatectomy for severe XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PATIENTS', 'Men', 'men'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity1067 :: ('MESH:D011470', 'Disease') :: ['benign prostatic hyperplasia'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity652 :: ('MESH:D000236', 'Disease') :: ['adenoma'] @entity1486 :: ('354', 'Gene') :: ['prostate-specific antigen']
@entity1067 :: (MESH:D011470,Disease) :: ['benign prostatic hyperplasia']
