V02-10 robot-Assisted Simple Prostatectomy: Illustration of a Simplified Extraperitoneal, Transcapsular Technique

Abstract

capsule and bladder mucosa anteriorly (third step). Perioperative data including operative time (OT), hospital stay (HS) and need of bladder irrigation (CBI) were analyzed. The CBI was maintained until no hematuria could be detected. The urinary scores were re-assessed 3 months after the procedure and complications were rated using the Clavien-Dindo method. The follow-up was 3 months. For statistical comparisons, the student t-test, Mann-Whitney and x2 tests were conducted using R software (version 3.4.2).RESULTS: A statistical significant difference was found in CBI (0.55 vs 1.7; p < 0.001) and HS (1.7 vs 2.7; p[ 0.03) favoring TST-RASP. Also, a longer operative time was found in this last group (101min vs 88min; p[0.04). No differences are found in demographic data, preoperative and postoperative urinary function scores (IPSS and Flowmetry) as well as other perioperative features. Only mild complications (I e II) were reported in both groups and no cases of urethral stricture were identified.CONCLUSIONS: The rational for hiding the prostatic capsule is to optimize patient recover since hematuria is the most related factor to hospital stay length. The presented data have demonstrated that TST may lead us to shorter periods of CBI and HS compared to the standard technique.