Single-port transvesical robot-assisted simple prostatectomy a multi-institutional series from the SPARC
Recommended Citation
Ramos R, Soputro N, Sauer Calvo R, Nguyen J, Wilder S, Ferguson E, Iarajuli T, Chavali JS, Rogers CG, Ahmed M, Crivellaro S, Kaouk J. Single-port transvesical robot-assisted simple prostatectomy a multi-institutional series from the SPARC. Eur Urol Open Sci 2023; 55:S254-S255.
Document Type
Conference Proceeding
Publication Date
9-1-2023
Publication Title
Eur Urol Open Sci
Abstract
Introduction & Objectives: Our aim is to report the results of the novel single-port (SP) transvesical (TV) robot-assisted simple prostatectomy (RASP) by presenting a multi-institutional series from the Single-Port Advanced Research Consortium (SPARC). Materials & Methods: Data from four institutions were collected prospectively and analyzed. SP TV RASP was performed in patients with severely symptomatic BPH. A 3 cm suprapubic incision was made to access the bladder directly with the SP access port. The procedure included two steps: 1) Excision of the prostatic adenoma 2) 360° reconstruction with a mucosal flap (Figure 1). Results: A total of 117 cases were analyzed. All cases were completed successfully without the need for conversion. Mean age and body mass index were 67 years and 28 kg/m2, respectively. Median Charlson comorbidity index was 3, up to 42% and 28% of the patients had a history of abdominal surgery and prostatic procedures, respectively. The median preoperative volume was 149.5 cc (IQR: 109-196). The most common indication for surgery was urinary retention (59%). Median operative time and estimated blood loss were 162 minutes and 100 ml, respectively. There were 3 intraoperative complications during the initial experience, all of them were air emboli due to high pneumovesicum pressure (>12 mmHg). Median specimen weight was 81 g (IQR: 59-123) and incidental adenocarcinoma was found in 5 cases (4.3%). The median pain score at discharge was 2/10, 92% did not require narcotics at discharge. Planned outpatient cases were discharged within 24 hours 85% of the time. Median catheter duration was 6 days. Biochemical and functional results are shown in Figure 2. Conclusions: SP TV RASP is a feasible outpatient technique for patients with severe BPH. The 360° mucosal flap reconstruction step provides hemostasis and fast recovery. [Figure presented]
Volume
55
First Page
S254
Last Page
S255
