Urethral-Sparing Robot-Assisted Simple Prostatectomy: Case Series of the Initial Experience of a Brazilian Surgical Center

J. P. Manzano, João Henrique Sendrete de Pinho, Thainã de Oliveira Azambuja, D. S. Constantin, Vinicius Meneguette Gomes de Souza, Ricardo Luis Vita Nunes, Jaime Comar Filho, Frederico Teixeira Barbosa
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Abstract

Benign prostatic hyperplasia (BPH) is a common condition among older men that causes lower urinary tract symptoms. Although pharmacological treatments are available, surgery is often required. The development of surgical techniques has progressed, with robotic simple prostatectomy (RASP) being one of the minimally invasive techniques for larger prostates. However, ejaculatory dysfunction remains a common postoperative problem of BPH surgery, significantly impacting patients' quality of life. In 1990, Dixon et al. were the first to describe the urethral-sparing approach, which maintained anterograde ejaculation
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保留尿道的机器人辅助简单前列腺切除术:巴西外科中心初步经验的病例系列
良性前列腺增生(BPH)是老年男性中引起下尿路症状的常见疾病。虽然药物治疗是可行的,但通常需要手术治疗。随着手术技术的发展,机器人简单前列腺切除术(RASP)已成为治疗较大前列腺的微创技术之一。然而,射精功能障碍仍然是BPH手术后常见的问题,严重影响患者的生活质量。1990年,Dixon等人首次描述了保留尿道的方法,该方法可以保持顺行射精
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