Robot-Assisted Simple Prostatectomy

Several types of procedures to treat large adenomas of the prostate have been described in the past including open, robotic or transurethral enucleation. The feasibility of robot-assisted simple prostatectomy (RASP) with a transperitoneal or extraperitoneal approach was demonstrated over time and the techniques have been further modified. Especially, extraperitoneal extravesical robot-assisted simple prostatectomy (EE-RASP) with intraprostatic urethral reconstruction excluding the prostatic cavity has been proposed as a safe and effective technique. This new technique provides reduction of complications from the prostate bed such as bleeding, temporary incontinence, urgency and frequency.