This review looked at minimally invasive treatments for patients that have urinary obstruction from very large patients.
Traditionally open surgery was done since procedures done through the natural urinary opening often did not have goo long term results.
Laparoscopic adenomectomy (LA) and robotic-assisted simple prostatectomy (RASP) have been performed for about 10 years. I started performing these operations in 2005 and have one of the worlds largest experiences in removing the middle part of the prostate robotically. I disagree that the learning curve is short. It is important to be in the correct plane in the prostate which is often more difficult to find with robotic or laparoscopic surgery than traditional open surgery.
Most of my patients are able to go home the day after surgery when I perform this operation robotically.