It's Time to Take Advantage of Robotic Assisted Simple Prostatectomy in Large Benign Prostatic Hyperplasia

The surgical management of large benign prostatic hyperplasia (BPH) remains a challenge. Surgical methods have evolved over the last three decades from the traditional open simple prostatectomy, to transurethral techniques including transurethral resection of the prostate, holmium laser enucleation of the prostate (HoLEP), and other vaporization methods, as well as laparoscopic simple prostatectomy, or robotic assisted simple prostatectomy (RASP). The recent report by Umari et al [1] is indeed interesting, and it may be helpful to choose a proper surgical procedure for large BPH. This article is one of scarce studies which compared treatment outcomes between RASP and HoLEP in patients with large-sized BPH. In this study, a total of 81 patients underwent RASP, and 45 underwent HoLEP during 7-years period [1]. Both groups demonstrated comparable post-operative improvements in urodynamic parameters and subjective symptom scores. Perioperative outcomes including operation time, risks for transfusion were similar in both groups