Gasless robotic perineal radical prostatectomy: Experience of the first 12 cases.

OBJECTIVE: To present our results of first 12 patients on whom we performed gasless robotic perineal radical prostatectomy (r-PRP). METHODS: We performed gasless r-PRP on 12 patients between August 2018 and October 2018. Multiparametric magnetic resonance imaging was performed forall patients to exclude local advanced disease. Demographic characteristics, technical details, and intra and postoperative data were analyzed. RESULTS: The mean age of the patients was 62.6 +/- 6years. The mean body mass index of the patients was 27 +/- 4 kg/m2. Four patients had a history of major abdominal surgery. The mean preoperative prostate-specific antigen (PSA) was 7.4 +/- 2.5 ng/mL. The mean prostate volume was 40 +/- 10.2 cc. The mean perineal dissection time was 45.6 +/- 5.8 minutes. The mean console time and total operative time were 117.8 +/- 28.1 and 163.3 +/- 30.7 minutes, respectively. The mean urethral catheter removal time was 9.2 +/- 1.9 days. The immediate continence rate was 25% after the urethral catheter removal and the continence rate was 75% and 91.67% at the 3rd and 6th month follow-up, respectively. CONCLUSIONS: Gasless r-PRP is an efficient and safe method in prostate cancer surgery. However, prospective randomized and comparative studies are required with large patient series.