Robot-assisted radical prostatectomy in a patient with prostate cancer complicated by benign prostate hypertrophy with middle lobe hypertrophy

Abstract

Robot-assistedradicalprostatectomy(RARP)isdifficultinpatientswithbenignprostatichyperplasia(BPH),aconditioncausingfrequent urination,becauseofthelargeprostatevolumeandparticularlytruewhenBPHisaccompaniedbyanenlargedmiddlelobe.Toovercome this difficulty, some surgeons elevate the middle lobe with a third arm or tow the urethral catheter to the edge to identify the resection line. Herein, we describe a method for lifting a prostate with an enlarged middle lobe, which was successfully applied in a patient with prostate cancer and BPH. This technique can help identify the resection line between the bladder and prostate, reducing surgical difficulty and the number of unnecessary sutures.