medigraphic.com
Organo Oficial de la Sociedad Mexicana de Urología

2021, Number 5

<< Back Next >>

Rev Mex Urol 2021; 81 (5)

Madigan technique robot-assisted simple prostatectomy: an option for ejaculatory preservation

Zapata-González JA, Robles-Torres JI, Pallares-Méndez R, Cervantes-Miranda DE, García-Chairez LR, Gómez-Guerra L, Gutiérrez-González A

Language: Spanish
References: 14
Page:
PDF size: 276.70 Kb.


ABSTRACT

Case description: The objective of this study is to describe the robot- assisted Madigan technique and report our initial experience in three cases with benign prostatic hyperplasia who underwent simple robot-assisted prostatectomy with this technique. No major complications were reported in the included cases. An improvement in urinary symptoms and preservation of ejaculatory and erectile function were demonstrated in all patients during their follow-up.
Relevance: Simple prostatectomy and endourological procedures for the management of benign prostatic hyperplasia continue to have the disadvantage of presenting inevitable adverse effects, such as ejaculatory disorders. The Madigan technique for simple prostatectomy is an alternative that allows to preserve the prostatic urethra and bladder neck in order to avoid ejaculatory.
Clinical implications: The robot-assisted Madigan technique is a therapeutic option that should be considered in a young patient with obstructive prostatic growth who wishes to preserve ejaculatory function after surgical treatment.
Conclusions: Prospective studies are required to compare the different simple prostatectomy techniques to validate the role of this technique in the preservation of ejaculation.


REFERENCES

  1. Gravas S, Cornu J N, Gacci M, Gratzke C, Herrmann T R, Mamoulakis C, et al. EAU guidelines on management of non-neurogenic male lower urinary tract symptoms (LUTS), including benign prostatic obstruction (BPO). European Association of Urology; 2020.

  2. Lucca I, Shariat SF, Hofbauer SL, Klatte T. Outcomes of minimally invasive simple prostatectomy for benign prostatic hyperplasia: a systematic review and meta-analysis. World J Urol. 2015;33(4):563–70. doi: 10.1007/s00345- 014-1324-3

  3. Mariano MB, Graziottin TM, Tefilli MV. Laparoscopic Prostatectomy With Vascular Control for Benign Prostatic Hyperplasia. Journal of Urology. 2002;167(6):2528–9. doi: 10.1016/S0022-5347(05)65025-2

  4. Sotelo R, Clavijo R, Carmona O, Garcia A, Banda E, Miranda M, et al. Robotic simple prostatectomy. J Urol. 2008;179(2):513–5. doi: 10.1016/j.juro.2007.09.065

  5. Dixon AR, Lord PH, Madigan MR. The Madigan prostatectomy. J Urol. 1990;144(6):1401–3. doi: 10.1016/s0022-5347(17)39753-7

  6. Quan C, Chang W, Chen J, Li B, Niu Y. Laparoscopic Madigan prostatectomy. J Endourol. 2011;25(12):1879–82. doi: 10.1089/ end.2011.0117

  7. Simone G, Misuraca L, Anceschi U, Minisola F, Ferriero M, Guaglianone S, et al. Urethra and Ejaculation Preserving Robot-assisted Simple Prostatectomy: Near-infrared Fluorescence Imaging-guided Madigan Technique. European Urology. 2019;75(3):492–7. doi: 10.1016/j. eururo.2018.11.051

  8. Freyer P. Enlargement of the Prostate. Estados Unidos: William Wood & Company; 1920.

  9. Millin T. Retropubic prostatectomy. J Urol. 1948;59(3):267–80. doi: 10.1016/s0022- 5347(17)69374-1

  10. Marra G, Sturch P, Oderda M, Tabatabaei S, Muir G, Gontero P. Systematic review of lower urinary tract symptoms/benign prostatic hyperplasia surgical treatments on men’s ejaculatory function: Time for a bespoke approach? International Journal of Urology. 2016;23(1):22–35. doi: 10.1111/iju.12866

  11. Leslie S, de Castro Abreu AL, Chopra S, Ramos P, Park D, Berger AK, et al. Transvesical Robotic Simple Prostatectomy: Initial Clinical Experience. European Urology. 2014;66(2):321– 9. doi: 10.1016/j.eururo.2013.12.020

  12. Stolzenburg J-U, Kallidonis P, Qazi H, Ho Thi P, Dietel A, Liatsikos EN, et al. Extraperitoneal approach for robotic-assisted simple prostatectomy. Urology. 2014;84(5):1099–105. doi: 10.1016/j.urology.2014.06.045

  13. Wang P, Xia D, Ye S, Kong D, Qin J, Jing T, et al. Robotic-assisted Urethra-sparing Simple Prostatectomy Via an Extraperitoneal Approach. Urology. 2018;119:85–90. doi: 10.1016/j. urology.2018.06.005

  14. Bove AM, Anceschi U, Ferriero M, Mastroianni R, Brassetti A, Tuderti G, et al. Perioperative and 1-year patient-reported outcomes of Freyer versus Millin versus Madigan robotassisted simple prostatectomy. World J Urol. 2021;39(6):2005–10. doi: 10.1007/s00345-020- 03391-w




2020     |     www.medigraphic.com