Robotic Assisted Laparoscopic Prostatectomy Post-Prostatic Urethral Lift Implants

Case Report

Abstract

Prostate cancer is the second most commonly diagnosed form of cancer in men. While there are several treatment options for prostate cancer, robotic assisted laparoscopic prostatectomy is a customary option in the treatment of clinically localized disease. It entails prostate removal using the Intuitive da Vinci surgical system. Another very prominent urologic condition affecting older males is benign prostatic hyperplasia (BPH); BPH has an increased lifetime prevalence reaching 80% of men by the 9th decade of life. It is characterized by lower urinary tract symptoms due to prostatic enlargement. These conditions often develop concomitantly in males given the high prevalence of each. Surgical advancements such as the prostatic urethral lift (PUL) system are becoming more commonly utilized. However, patients with benign prostatic hyperplasia who independently develop clinically significant prostate cancer may necessitate definitive management, namely prostatectomy. In this case report, we discuss a 67-year-old male presenting with Gleason group 2 (3+4=7) prostate cancer with previous PUL implants, who then underwent robotic assisted laparoscopic radical prostatectomy. Prostatectomy following prior PUL implantation has never been fully discussed in the literature, and there are no intraoperative or postoperative complications from prostatectomy to report thus far.