Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Clinical Outlook
  • Published:

Robot-assisted radical prostatectomy haemostasis techniques and outcomes

The robot-assisted approach to radical prostatectomy has enabled same-day discharge. A substantial concern associated with this practice could be haemorrhage, but sound and thorough robot-assisted radical prostatectomy haemostasis surgical techniques that were introduced to prevent bleeding mitigate this phenomenon.

This is a preview of subscription content, access via your institution

Access options

Buy this article

USD 39.95

Prices may be subject to local taxes which are calculated during checkout

References

  1. Cheng, E. et al. Same-day discharge versus inpatient robotic assisted radical prostatectomy: complications, time-driven activity-based costing, and patient satisfaction. J. Urol. 210, 856–864 (2023).

    Article  PubMed  PubMed Central  Google Scholar 

  2. Novara, G. et al. Systematic review and meta-analysis of perioperative outcomes and complications after robot-assisted radical prostatectomy. Eur. Urol. 62, 431–452 (2012).

    Article  PubMed  Google Scholar 

  3. Dean, L. W. et al. Contemporary management of hemorrhage after minimally invasive radical prostatectomy. Urology 130, 120–125 (2019).

    Article  PubMed  Google Scholar 

  4. Basourakos, S. P. et al. Clipless robotic-assisted radical prostatectomy and impact on outcomes. Eur. Urol. Focus 8, 1176–1185 (2022).

    Article  PubMed  Google Scholar 

  5. Lei, Y. et al. Athermal division and selective suture ligation of the dorsal vein complex during robot-assisted laparoscopic radical prostatectomy: description of technique and outcomes. Eur. Urol. 59, 235–243 (2011).

    Article  PubMed  Google Scholar 

  6. Bravi, C. A. et al. Impact of early dorsal venous complex ligation on urinary continence recovery after robot-assisted radical prostatectomy: results from a phase 3 randomized controlled trial. Eur. Urol. Focus 9, 83–88 (2023).

    Article  PubMed  Google Scholar 

  7. Feng, T. et al. Randomised comparison of techniques for control of the dorsal venous complex during robot‐assisted laparoscopic radical prostatectomy. BJU Int. 126, 586–594 (2020).

    Article  PubMed  Google Scholar 

  8. de Carvalho, P. A. et al. Retrograde release of the neurovascular bundle with preservation of dorsal venous complex during robot-assisted radical prostatectomy: optimizing functional outcomes. Eur. Urol. 77, 628–635 (2020).

    Article  PubMed  Google Scholar 

  9. Arenas-Gallo, C. et al. Trends, cost, and predictors of local hemostatics use in major urological surgery. Urol. Pract. 10, 569–577 (2023).

    Article  PubMed  Google Scholar 

  10. Martorana, E. et al. Does topical hemostatic agent (Floseal®) have a long-term adverse effect on erectile function recovery after nerve-sparing robot-assisted radical prostatectomy? Int. Urol. Nephrol. 49, 1519–1526 (2017).

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jim C. Hu.

Ethics declarations

Competing interests

The authors declare no competing interests.

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wald, G., Winograd, J., Farha, M. et al. Robot-assisted radical prostatectomy haemostasis techniques and outcomes. Nat Rev Urol 22, 407–408 (2025). https://doi.org/10.1038/s41585-024-00978-5

Download citation

  • Published:

  • Version of record:

  • Issue date:

  • DOI: https://doi.org/10.1038/s41585-024-00978-5

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing