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Lasers in Transurethral Enucleation of the Prostate—Do We Really Need Them
Open AccessReview

Robotic-Assisted Simple Prostatectomy: A Systematic Review

1
Department of Urology, School of Medicine, Koc University, Zeytinburnu, 34010 Istanbul, Turkey
2
Department of Urology, School of Medicine, Istanbul Medipol University, 34083 Istanbul, Turkey
3
Amsterdam University Medical Centers, 1105 Amsterdam, The Netherlands
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(6), 1798; https://doi.org/10.3390/jcm9061798
Received: 5 May 2020 / Revised: 28 May 2020 / Accepted: 2 June 2020 / Published: 9 June 2020
(This article belongs to the Special Issue Lower Urinary Tract Symptoms and Benign Prostatic Hyperplasia)
Contemporary minimally invasive surgical (MIS) treatment options of patients with male Lower Urinary Tract Symptoms (LUTS) in men with prostate glands >80 mL include Holmium Laser Enucleation Prostate (HoLEP), Thulium laser VapoEnucleation Prostate (ThuVEP), and Laparoscopic (LSP) or Robotic-Assisted Simple Prostatectomy (RASP). Implementing new laser technologies is costly, and the steep learning curve of these laser techniques limit their wide range use. This promoted the use of LSP and RASP in centers with readily established laparoscopy or robotic surgery programs. The aim of this study is to review case and comparative series of RASP. We systematically reviewed published data from 2008 to 2020 on RASP and have identified 26 non-comparative and 9 comparative case series. RASP has longer operation time but less time spent in hospital and less blood loss. The outcomes of improvements in symptom score, post-voiding residual urine (PVR), postoperative PSA decline, complications, and cost are similar when compared to open and laser enucleation techniques. These outcomes position RASP as a viable MIS treatment option for patients with male LUTS needing surgical treatment for enlarged prostates. Nevertheless, prospective, randomized controlled trials (RCTs) with multicenter and large sample size are needed to confirm the findings of this systematic review. View Full-Text
Keywords: benign prostate hyperplasia; miminally invasive simple prostatectomy; minimally invasive adenomectomy; robotic adenomectomy; robotic simple prostatectomy benign prostate hyperplasia; miminally invasive simple prostatectomy; minimally invasive adenomectomy; robotic adenomectomy; robotic simple prostatectomy
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Kordan, Y.; Canda, A.E.; Köseoğlu, E.; Balbay, D.; Laguna, M.P.; de la Rosette, J. Robotic-Assisted Simple Prostatectomy: A Systematic Review. J. Clin. Med. 2020, 9, 1798.

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