Berlin—A laparoscopic preperitoneal approach cannot only serve as a teaching platform for laparoscopic skills for surgeons, but it also demonstrates reproducible outcomes in the treatment of BPH, according to Belgian researchers who presented their results at the European Association of Urology annual congress here.
Researchers from the Institut Jules Bordet, Universite Libre de Bruxelles in Brussels, conducted a 102-patient prospective study comparing a classical open Millin’s retropubic transcapsular adenectomy in 51 patients and a laparoscopic preperitoneal approach in 52 patients according to a step-by-step transposition of Millin’s procedure described in European Urology (2004; 45:103-9).
Preoperative characteristics were comparable between the groups with respect to age, prostate volume measured by trans-rectal ultrasonography, preoperative micturition, post-void residual volume, and International Prostate Symptom Score (IPSS).
This study was done with laparoscopy and looked at open vs laparoscopic prostatectomy for BPH for smaller prostates.
I have performed over 10 robotic prostatectomies for BPH with over 150 grams of tissue removed on many men. I think the robotic approach is harder to learn than either of the 2 above methods, but when mastered, leads to an easier and quicker operation.