Robot-assisted radical prostatectomy: advances since 2005.
OBJECTIVE
To provide an update of recent studies relevant to robot-assisted radical prostatectomy, highlighting technical modifications and associated functional outcomes, mid-term oncologic results and patient perception and satisfaction.


RESULTS
Several recent studies have investigated methods of further reducing the morbidities associated with prostatectomy, namely erectile dysfunction and incontinence. These studies provide important anatomic insights into additional mechanisms responsible for potency and incontinence and measures for preserving both. Mid-term oncologic outcomes have also been reported; further substantiating the role of robotics in the treatment of clinically localized prostate cancer.


CONCLUSIONS
The technique of robotic prostatectomy has evolved over the last decade with significant efforts in improving functional outcomes following surgery. However, aggressive-marketing campaigns and lack of regulation of hospital websites may be contributing to unrealistic expectations in patients who choose to undergo robotic prostatectomy, resulting in dissatisfaction for some patients. National interests in this topic will likely result in the mandate for more stringent studies to assess the comparative effectiveness of robot-assisted prostatectomy with other competing therapies for clinically localized prostate cancer.
Su
Li-Ming
LM
Robotic and Minimally Invasive Urologic Surgery, Department of Urology, University of Florida College of Medicine, Gainesville, Florida, USA. sulm@urology.ufl.edu
D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000517:prevention & control; D011468:Prostatectomy / Q000379:methods* / Q000592:standards / Q000639:trends; D012371:Robotics