Robot assisted simple prostatectomy

Hi . I was unfamiliar with this, but did find this paper on the benefits of RASP before radiation for those with Prostate Cancer and Prostatomegaly: https://www.urotoday.com/conference-highlights/wcet-2024/154137-wcet-2024-robotic-simple-prostatectomy-followed-by-radiation-therapy-versus-robotic-radical-prostatectomy-propensity-matched-analysis-of-a-treatment-pathway-for-men-with-prostate-cancer-and-prostatomegaly.html.

Concerning RASP v. HOLEP, I found these studies that had better results with RASP for the enlarged prostate: https://wjmh.org/DOIx.php?id=10.5534/wjmh.230054 and https://pmc.ncbi.nlm.nih.gov/articles/PMC10357823/.

I found one study on HOLEP and cancer treatment that concluded that "HoLEP is beneficial in debulking large prostate in PCa patients with bothersome LUTS on active surveillance or before radiotherapy. HoLEP reduces the contribution of large adenoma to PSA level, thus reflecting PSA level better and helping reduce overtreatment:" https://pubmed.ncbi.nlm.nih.gov/36463424/. Note that this was not comparing to RASP for the cancer treatment. I didn't find any direct comparisons for the cancer treatments. I hope this information is helpful and please feel free to keep us posted and to ask additional questions. Best, Richard (Team Member)

thank you so much for these articles. My husband is scheduled for RASP on January 12th. These articles solidified his decision that RASP is the best plan of action for him. We are so grateful for this information you have shared with us.
Thank you!!!

I have more tests in January to determine the next course if treatment. We are hoping the numbers will stabilize and can be monitored only.

I wish you the best. Please keep us posted as to how you are doing.

Hi . Your concern is understandable. No doubt that there is the double edged sword of the fear of infection and the fear of sending him home with existing medical issues that could present a problem it the initial post-surgery period. I can tell you that my father-in-law (a prostate cancer survivor) recently had a similar scenario. He had a knee replacement, which is often done outpatient, but because of medical issues (previous AFib, blood pressure, and diabetes) they did decide to keep him for a night, but only after he and his wife asked. It also made a difference that my mother-in-law has medical issues that limit her caregiving abilities. It can't hurt to ask and lay out your concerns, including about your ability to help in an emergency. The worst that happens is that plans remain as they are now. Wishing you the best. Richard (Team Member)

thank you again for your helpful and insightful reply. Since we are uncomfortable with the thought of immediate discharge, we will go ahead and pose the question to her. It doesn’t hurt to ask. Like you said, if she says no, then we will be prepared and can plan accordingly.