Treatment of huge benign prostatic hyperplasia by robot-assisted laparoscopic resection of prostate: 3 cases report and literatures review
LUAN Yang1, ZHANG Jun2, XU Hao1, LI Heng1, GUAN Wei1, WANG Shaogang1
1Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; 2Department of Urology, Suizhou Xinhua Hospital of Integrated Traditional Chinese and Western Medicine
Abstract：Objective: To investigate the role of robot-assisted laparoscopic surgery in the treatment of huge benign prostatic hyperplasia （BPH）. Methods: A retrospective analysis on the clinical treatment process and outcomes of 3 patients with huge BPH was performed. We also compared the advantages and disadvantages of different surgical methods, including transurethral resection of prostate, open prostatectomy and laparoscopic surgery, for huge BPH treatment. Results: Three male patients were admitted to our hospital due to lower urinary tract syndrome with prostate volume over 120 mL by MRI and elevated PSA level （all above 20 μg/L）. All the patients were diagnosed as having BPH by prostate biopsies and underwent robot-assisted laparoscopic resection of prostate. The postoperative outcomes and 12-month follow-up data showed the urinary function was significantly improved and PSA recovered in 3 patients, but there was no serious complication or obvious impacts on erectile function and urinary control function. The postoperative pathologic examinations confirmed BPH. Conclusion: Robot-assisted laparoscopic resection of prostate is a safe and reliable method for the treatment of huge BPH.
