Recent advances in minimally invasive prostate surgery created a plethora of surgical alternatives for the treatment of benign prostatic hyperplasia (BPH). Open simple prostatectomy was once thought to be the gold standard surgical therapy for a big prostate. However, according to the most current American Urological Association (AUA) recommendations on surgical care of BPH, both open and minimally invasive methods to simple prostatectomy were feasible options for treating big glands, depending on skill with the procedures. For a review, researchers evaluated the minimally invasive robot-assisted technique of uncomplicated prostatectomy to the traditional open approach.

Despite lengthier surgical hours, the robotic technique resulted in a shorter hospital stay and a reduced morbidity profile. The morbidity of an open approach was still substantial. When compared to a robotic technique, blood transfusions were 3–4 times more probable, and serious complications were twice as likely. In line with prior research, the findings suggested that functional result improvements such as flow rate and symptom score were equivalent across the robotic and open approaches. The amount of adenoma removed and the rate of PSA reduction was similarly comparable in robotic and open instances.

Simple prostatectomy with robot assistance was a safe and efficient treatment for BPH caused by a big prostate gland. The recent AUA recommendations on BPH no longer consider it “investigational,” and it was advised as an alternative to the open approach.