Laparoscopic Simple Prostatectomy with Prostatic Urethra Preservation for Benign Prostatic Hyperplasia

In recent years, the principles of open Simple Prostatectomy, performed to treat Benign Prostatic Hyperplasia in prostates larger than 80 mL, have been successfully transferred to laparoscopic and robot-assisted approaches, with the advantage of allowing faster recovery and reduced blood loss.  Despite these advantages, most patients require continuous bladder irrigation in the postoperative period and will have ejaculatory dysfunction as result of the removal of the prostatic urethra, affecting patients’ quality of life.  The laparoscopic simple prostatectomy with prostatic urethra preservation is the solution to overcome and solve these complications related to traditional surgical techniques and even transurethral endoscopic enucleations.