1,007 results match your criteria Simple Prostatectomy


Sexual function criteria post laparoscopic radical prostatectomy: a reverse systematic review.

Int Urol Nephrol 2022 Jun 28. Epub 2022 Jun 28.

UroScience, Department of Urology, University of Campinas (UNICAMP), and Pontifical Catholic University of Campinas (PUC-Campinas), Av. John Boyd Dunlop-Jardim Ipaussurama, Campinas, São Paulo, CEP 13034-685, Brazil.

Objective: To apply a new review methodology, called reverse systematic review (RSR), to assess how different classification criteria can influence erectile dysfunction rates in patients undergoing laparoscopic radical prostatectomy (LRP).

Methods: We used RSR from January 1, 2000, until December 31, 2020. The post-prostatectomy erectile dysfunction (PPED) rates were evaluated at 1, 3, 6, 12, and 18 months after surgery in different criteria selected as the most commonly used and divided into four groups: "Erection Sufficient for Intercourse (ESI)", "IIEF-5 > 17", "IIEF-5 > 22" and "Not Available". Read More

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The Multi-Institutional Experience in Single-Port Robotic Transvesical Simple Prostatectomy for Benign Prostatic Hyperplasia Management. Reply.

J Urol 2022 Jun 3:101097JU0000000000002785. Epub 2022 Jun 3.

Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland, Ohio.

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The Multi-Institutional Experience in Single-Port Robotic Transvesical Simple Prostatectomy for Benign Prostatic Hyperplasia Management. Letter.

J Urol 2022 Jun 3:101097JU0000000000002784. Epub 2022 Jun 3.

Department of Urology, Guizhou Provincial People's Hospital, Guiyang, China.

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Division of dorsal vascular complex using soft coagulation without suture ligation during robot-assisted laparoscopic radical prostatectomy: a propensity score-matched study in a single-center experience.

Cent European J Urol 2022 24;75(1):65-71. Epub 2022 Mar 24.

Department of Urology, Osaka City University Graduate School of Medicine, Osaka, Japan.

Introduction: Apical dissection and control of the dorsal vascular complex (DVC) affects blood loss, positive surgical margins, and urinary control during robot-assisted laparoscopic radical prostatectomy. Soft coagulation is widely used for hemostasis. However, using soft coagulation to the DVC may affect the continence outcomes. Read More

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Standard Multi-Port versus Single-Port Robot‑Assisted Simple Prostatectomy: A Single Center Initial Experience.

J Endourol 2022 May 10. Epub 2022 May 10.

University of Rochester Medical Center, 6923, Urology , Rochester, New York, United States;

Background: Robot-assisted simple prostatectomy (RASP) has emerged as a safe surgical treatment for patients with benign prostatic hyperplasia with large glands (>80 ml). Several studies reported on perioperative outcomes of RASP by the standard multiport (MP) da Vinci robotic system approach. Studies conducted on RASP utilizing the novel single-port da Vinci® SP robotic platform (Intuitive Surgical, Sunnyvale, CA) are scarce. Read More

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A case report of giant prostatic hyperplasia in a resource-challenged center.

Urol Case Rep 2022 Jul 25;43:102094. Epub 2022 Apr 25.

Department of Urologic Surgery, Faculty of Medicine, Damascus University, Damascus, Syria.

A benign enlargement of the prostate with weight measured above 500 gr is a rare entity that is not characterized with specific clinical findings, and requires simple open prostatectomy as the chosen management for such cases especially, in low resource context. Hereby we present a rare case of 570 gr weighted prostate hyperplasia, managed within resource-challenged hospital. Read More

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Improvement of Quality of Life after Radical Prostatectomy.

Psychiatr Danub 2021 Spring-Summer;33(Suppl 4):1274-1277

Department for Rheumatology and Rehabilitation, University Hospital Centre Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia,

Prostate cancer screening has increased the number of patients eligible for radical prostatectomy (RP), but this curable surgery also increases the risk of postprostatectomy erectile dysfunction and urinary incontinence, and although these adverse effects may vary depending on their incidence, severity and duration they are present in most men who undergoing RP, exposing them to psychosocial problems, increasing health care costs and reducing labour productivity, therefor it is of great importance to reduce or even prevent them. Pelvic physical rehabilitation is a relatively simple, non-invasive, outpatient method that, if applied properly before and/or after RP, can significantly reduce adverse effects, increase patient quality of life and satisfaction with surgery, but also reduce health care costs and accelerate return to work. It is therefore important that our patients and physicians are aware of the benefits of a pelvic muscle training program. Read More

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The role of intra-operative void score during transurethral resection of prostate as a marker of efficacy: a feasibility study.

ANZ J Surg 2022 06 30;92(6):1492-1497. Epub 2022 Mar 30.

Department of Surgery, University of Otago, Dunedin, New Zealand.

Background: To assess the feasibility of a novel intra-operative void scoring technique. To determine if intra-operative void score (VS) could act as a marker for post-operative success following TURP.

Methods: Fifteen patients undergoing TURP were included in this single-centre feasibility study. Read More

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Persistent storage symptoms following Y-V plasty reconstruction for the treatment of refractory bladder neck contracture.

Neurourol Urodyn 2022 06 28;41(5):1082-1090. Epub 2022 Apr 28.

Division of Urology, Department of Surgery, University of Calgary, Calgary, Alberta, Canada.

Purpose: Refractory bladder neck contracture (BNC) following transurethral prostatectomy is rare and difficult to manage. Success rate of endoscopic treatment decline considerably after repeated treatments. Bladder neck reconstruction are often the last resort to treat refractory BNC failing endoscopic treatments. Read More

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A Transition Toward a Faster Recovery in Single-Port Transvesical Simple Prostatectomy.

J Endourol 2022 May 20. Epub 2022 May 20.

Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.

To present the updated technique and evaluate the perioperative and postoperative outcomes of single-port transvesical simple prostatectomy (SP TVSP) Forty-two consecutive patients with benign prostatic hyperplasia indicated for surgery underwent SP TVSP in a single institution. Through direct suprapubic bladder access, the SP robot was docked. Prostatic enucleation was performed using the prostatic capsule as a landmark. Read More

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The pelvic anatomic index is an independent predictor for the difficulty of radical prostatectomy.

Int Urol Nephrol 2022 Jul 19;54(7):1529-1535. Epub 2022 Apr 19.

Department of Urology, Faculty of Medicine, Kocaeli University, 41001, Kocaeli, Turkey.

Objectives: The aim of the study was to investigate whether a novel simple measurement of pelvic anatomy, the pelvic anatomical index (PAI), which is obtained from simple physical examination, was predictive for potential difficulty and adverse outcome in radical prostatectomy.

Materials And Methods: Available data from 73 consecutive radical prostatectomy patients were analyzed. The distances between umbilicus and cranial edge of the symphysis pubis (USPD) and between root of the penis and umbilicus (PUD) were measured. Read More

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Identifying predictors of antispasmodic use following robotic assisted simple prostatectomy.

Can J Urol 2022 04;29(2):11052-11058

Department of Urology, UT Southwestern Medical Center, Dallas, Texas, USA.

Introduction: Anticholinergic or ß-3 agonist use following robotic simple prostatectomy (RASP) is not well described. We describe rates of antispasmodic use following RASP and identify potential predictors of medication use.

Materials And Methods: A retrospective review of all RASP patients from 2/2016 - 1/2020 was conducted. Read More

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Mortality after surgery for benign prostate hyperplasia: a nationwide cohort study.

World J Urol 2022 Jul 16;40(7):1785-1791. Epub 2022 Apr 16.

Heart Center, Turku University Hospital and University of Turku, Turku, Finland.

Purpose: To investigate postoperative mortality rates and risk factors for mortality after surgical treatment of benign prostate hyperplasia (BPH).

Methods: All patients who underwent partial prostate excision/resection from 2004 to 2014 in Finland were retrospectively assessed for eligibility using a nationwide registry. Procedures were classified as transurethral resection of the prostate (TURP), laser vaporization of the prostate (laser), and open prostatectomy. Read More

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Endoscopic Enucleation of the Prostate Is Better than Robot-assisted Simple Prostatectomy.

Eur Urol Focus 2022 Mar 5;8(2):365-367. Epub 2022 Apr 5.

Department of Urology, Spital Thurgau AG, Kantonspital Frauenfeld, Frauenfeld, Switzerland; Department of Urology, Stellenbosch University, Western Cape, South Africa; Hannover Medical School, Hannover, Germany. Electronic address:

In 2022, endoscopic enucleation of the prostate (EEP) is the treatment of choice for benign prostatic obstruction (BPO) for glands >80 ml and is a valid alternative for patients with bleeding disorders. Unlike robot-assisted radical prostatectomy, EEP has no additional access-related trauma and can be performed using the same instruments as for bipolar enucleoresection. With favorable costs, EEP can serve as a global solution for BPO treatment. Read More

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The Multi-Institutional Experience in Single-Port Robotic Transvesical Simple Prostatectomy for Benign Prostatic Hyperplasia Management.

J Urol 2022 Apr 4:101097JU0000000000002692. Epub 2022 Apr 4.

Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland, Ohio.

Purpose: Single-port (SP) robotic-assisted simple prostatectomy (RASP) through the transvesical approach is a novel surgical option in the management of large prostatic glands. We present the first multi-institutional study to further assess the perioperative and postoperative outcomes of SP RASP.

Materials And Methods: From February 2019 to November 2021, 91 consecutive patients of 3 separate institutions underwent transvesical RASP using the da Vinci® SP robotic surgical system. Read More

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Minimally invasive simple prostatectomy: Robotic-assisted versus laparoscopy. A comparative study.

Arch Ital Urol Androl 2022 Mar 28;94(1):37-40. Epub 2022 Mar 28.

Department of Urology, San Bassiano Hospital, Bassano del Grappa.

Purpose: Robotic-assisted simple prostatectomy (RASP) is a novel surgical procedure for the management of obstructive symptoms caused by enlarged prostate glands. Before the introduction of minimally invasive techniques, the standard approach was the open simple prostatectomy (OSP). The aim of our study was to compare intraoperative and perioperative outcomes of robotic (RASP) and laparoscopic (LSP) simple prostatectomy. Read More

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Robot-assisted Simple Prostatectomy Is Better than Endoscopic Enucleation of the Prostate.

Eur Urol Focus 2022 Mar 26;8(2):368-370. Epub 2022 Mar 26.

Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy.

Robot-assisted simple prostatectomy represents a solid treatment option for benign prostatic obstruction in patients with large prostate glands. This procedure offers multiple attractive features that make it a strong competitor against endoscopic enucleation of the prostate. Read More

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Incidental Prostate Cancer from Prostate with Benign Biopsies: A Predictive and Survival Analysis from Cohort Study.

Int J Gen Med 2022 10;15:2807-2816. Epub 2022 Mar 10.

Division of Urology, Department of Surgery, Tungs' Taichung MetroHarbor Hospital, Taichung, 435, Taiwan.

Purpose: This cohort was to evaluate incidental prostate cancer (iPCa) from men with preoperative benign biopsies and demonstrate their outcomes under different managements.

Patients And Methods: Between 2015 and 2017, we analyzed the risk factors having iPCa from surgical specimens from men provided with benign preoperative biopsies of their prostates. Furthermore, we compared the survival outcomes according to the different managements after iPCa was diagnosed. Read More

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Efficacy and Safety of the Sandwich Method in Patients with Benign Prostate Hyperplasia: Bipolar Transurethral Resection with GreenLight Vaporization.

J Clin Med 2022 Feb 26;11(5). Epub 2022 Feb 26.

Division of Urology, Department of Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan City 333, Taiwan.

Benign prostate hyperplasia (BPH) refers to the nonmalignant enlargement of the transition zone of the prostate gland. While holmium laser enucleation of the prostate and open simple prostatectomy are effective in the management of patients with large prostates, they have some limitations. Thus, this study aimed to analyze the efficacy and safety of the sandwich method of bipolar transurethral resection of the prostate (B-TURP) and GreenLight photoselective vaporization of the prostate (GLPVP) in patients with large prostates. Read More

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February 2022

[Minimally Invasive Therapy: What Is The Status In 2021 - What's Coming, What's Going?]

Aktuelle Urol 2022 06 1;53(3):231-239. Epub 2022 Mar 1.

Medizinische Fakultät, Klinik für Urologie, Universitätsklinikum Freiburg, Freiburg, Germany.

Due to the large number of men affected and a variable clinical presentation, the widespread disease "benign prostatic syndrome" requires individual treatment options tailored to the patient's specific clinical characteristics and wishes. If surgical treatment is indicated, there is a wide range of invasive procedures available. For a long time, transurethral resection of the prostate and simple prostatectomy were considered the gold standard, but these procedures are associated with increased morbidity and limitations in sexual function. Read More

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Multicentric comparative analysis of Retzius versus Retzius sparing robotic assisted simple prostatectomy in the management of large prostate glands.

Scand J Urol 2022 Apr 18;56(2):119-125. Epub 2022 Feb 18.

'Carol Davila' University of Medicine and Pharmacy, Bucharest, Romania.

Aim: Robot-assisted simple prostatectomy (RASP) is a minimally invasive alternative to open simple prostatectomy in the management of patients with large prostate glands suffering from moderate-to-severe lower urinary tract symptoms (LUTS). Our study aimed to evaluate two transvesical robotic approaches in order to compare functional outcomes and postoperative complications.

Materials And Methods: Clinical data from 111 consecutive patients from three tertiary robotic centers were retrospectively collected. Read More

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Thulium laser enucleation of prostate versus laparoscopic trans-vesical simple prostatectomy in the treatment of large benign prostatic hyperplasia: head-to-head comparison.

Int Braz J Urol 2022 Mar-Apr;48(2):328-335

Department of Urology, San Carlo di Nancy Hospital, Rome, Italy.

Objectives: To compare thulium laser enucleation of prostate (ThuLEP) versus laparoscopic trans-vesical simple prostatectomy (LSP) in the treatment of benign prostatic hyperplasia (BPH).

Materials And Methods: Data of patients who underwent surgery for "large" BPH (>80mL) at three Institutions were collected and analyzed. Two institutions performed ThuLEP only; the third institution performed LSP only. Read More

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Evaluation of Hugo RAS System in Major Urologic Surgery: Our Initial Experience.

J Endourol 2022 Mar 8. Epub 2022 Mar 8.

Department of Urology, Orsi Academy, Ghent, Belgium.

The Hugo RAS is a newly launched robotic system for clinical use. This article provides the initial experience of the authors using Hugo RAS in urologic procedures. Patients undergoing major urologic procedures, including nephrectomy and prostatectomy, were included in this prospective clinical trial. Read More

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Current evidence of ThuLEP for BPH: A review of literature.

Turk J Urol 2021 Nov;47(6):461-469

Department of Urology, Universita? Degli Studi di Modena e Reggio Emilia, Modena MO, Italy.

Endoscopic enucleation of the prostate (EEP) techniques for the treatment of benign prostatic hyperplasia (BPH) have become increasingly popular among urologists over the past 23 years. Despite the energy source employed, the aim of all these procedures is to endoscopically remove the prostatic lobes by enucleating them from the prostate surgical capsule. The reasons for which EEP has gained popularity among urologists are the reduction in complications and hospital stay compared to endoscopic gold standard Transurethral Resection of the Prostate (TURP), but especially the possibility to treat large prostates, allowing to abandon open simple prostatectomy (OP) and to avoid the burden related to open surgery. Read More

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November 2021

Robotic simple prostatectomy is a safe and effective technique for benign prostatic hyperplasia: Our single center initial short-term follow-up results for 42 patients.

Turk J Urol 2021 Jul;47(4):313-318

Department of Urology, Koru Ankara Hospital, Ankara, Turkey.

Objective: Benign prostatic hyperplasia is one of the biggest problems of aging men. Prostate surgery is now well defined in the case of failure of medical therapy. Robotic simple prostatectomy is a minimally invasive surgical method with an alternative to open simple prostatectomy in large prostate volumes. Read More

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Mid-term functional outcomes of extraperitoneal robot-assisted simple prostatectomy: a single centre experience.

J Robot Surg 2022 Feb 2. Epub 2022 Feb 2.

Division of Urology, APHP, Pitié-Salpêtrière Hôpital, Urology, Sorbonne University, GRC 5, 75013, Paris, France.

For large prostate volume, open simple prostatectomy (OSP) or holmium laser enucleation are the gold standard surgical treatment medical therapy failure. Robot-assisted simple prostatectomy (RASP) has recently been proposed as an alternative to OSP and endoscopic techniques. Our objective was to describe our extraperitoneal RASP technique for patients with benign prostate obstruction (BPO), and to report on perioperative and mid-term functional outcomes. Read More

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February 2022

Mucosal coaptation technique for early urinary continence after robot-assisted radical prostatectomy: a comparative exploratory study.

Cent European J Urol 2021 18;74(4):528-534. Epub 2021 Sep 18.

Department of Biostatistics, PGIMER, Chandigarh, India.

Introduction: Urinary incontinence is a troublesome complication following radical prostatectomy. Various robot-assisted radical prostatectomy (RARP). We describe our technique (Santosh-PGI) of urethral and urinary bladder mucosa coaptation for early continence following RARP. Read More

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September 2021

The Feasibility of Open Prostatectomy in Patients with History of Previous Prostate Surgery.

Urol J 2022 Jan 23;19(2):148-151. Epub 2022 Jan 23.

Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Purpose: Benign prostatic hyperplasia (BPH) is one of the most common problems in elderly men. Transurethral resection of the prostate (TURP) can be performed for most patients who need re-do prostate surgery, but open prostatectomy should be considered in patients with prostate size larger than 70 grams. This study assessed the feasibility of open prostatectomy (OP) after previous TURP in patients whose prostate size was larger than 70 grams. Read More

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January 2022

Extraperitoneal laparoscopic simple prostatectomy with urethra preservation using urethral initiation as the entry point: a practical approach for the treatment of benign prostatic obstruction.

World J Urol 2022 Apr 22;40(4):973-982. Epub 2022 Jan 22.

Department of Urology, The First Affiliated Hospital of University of Science and Technology of China, Hefei, China.

Purpose: The present study introduces a modified surgical procedure, extraperitoneal laparoscopic simple prostatectomy (LSP) with urethra preservation using urethral initiation as the entry point, and evaluates its feasibility, safety, and efficacy in the treatment of benign prostatic obstruction (BPO).

Materials And Methods: A total of 50 patients with BPO underwent modified LSP from January 2018 to December 2020. The main surgical procedures performed were as follows: transversely incision of prostate surgical capsule at the urethral initiation; creating of the subcapsular plane and the space between urethra and adenoma; removal of lobes with preservation of urethra followed by suturing of capsule. Read More

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