Urology robotic prostate surgery

Robotic surgery offers a versatile option for treating both benign and malignant diseases of the prostate, commonly benign prostatic hyperplasia (BPH) and prostate cancer. BPH produces lower urinary tract symptoms (LUTS) that can be managed with medication as well as endoscopic surgical enucleation or laser ablation. However, for very large prostates, those more than 150g, robotic-assisted simple prostatectomy eliminates the blockade, allows for reconstruction, and avoids prolonged urethral manipulations that can produce stricture. Prostate cancer is amenable to robotic management due to its location deep within the pelvis and its proximity to critical neural and sphincteric structures. For two decades, the robotic approach has become preferred due to its minimally invasive nature, decrease in postoperative pain, and decreased intraoperative blood loss. Additionally, the robot permits magnification, precision, anatomical identification, and reconstruction that contribute to improved outcomes.