Complications of endoscopic extraperitoneal radical prostatectomy (EERPE): Prevention and management

Jens Uwe Stolzenburg, Robert Rabenalt, Minh Do, Benjamin Lee, Michael C. Truss, Alan McNeill, Martin Burchardt, Udo Jonas, Evangelos N. Liatsikos

Research output: Contribution to journalReview article

33 Scopus citations

Abstract

Endoscopic extraperitoneal radical prostatectomy (EERPE) is a further advancement of minimal invasive surgery as it overcomes the limitations of laparoscopic (transperitoneal) RPE by the strictly extraperitoneal route of access combining the advantages of minimal invasive surgery with the advantages of an extraperitoneal procedure. Endoscopic extraperitoneal radical prostatectomy has many advantages but is not without complications. The aim of this review article is to describe the most common complications of this procedure. Complications associated with endoscopic extraperitoneal radical prostatectomy are: vascular injury - bleeding - haematoma, bowel injury, lymphocele, injury to the bladder - ureter, port site hernia, anastomotic leakage - stricture, obturator nerve injury - paralysis, gas embolism, catheter blockage, and miscellaneous like perineal pain, pubic osteitis, infection- urosepsis. The present review paper focuses on the identification and management of these complications The incidence of most complications directly correlates with the surgeons' experience, and the various complications are related to technical errors rather than to the technique itself. The laparoscopist performing endoscopic/laparoscopic radical prostatectomy should be aware of all these complications. He should be able to recognise promptly, treat efficiently, and ideally prevent these complications.

Original languageEnglish (US)
Pages (from-to)668-675
Number of pages8
JournalWorld Journal of Urology
Volume24
Issue number6
DOIs
StatePublished - Dec 1 2006
Externally publishedYes

Keywords

  • Complications
  • Endoscopic extraperitoneal radical prostatectomy
  • Management
  • Prevention
  • Prostate cancer

ASJC Scopus subject areas

  • Urology

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  • Cite this

    Stolzenburg, J. U., Rabenalt, R., Do, M., Lee, B., Truss, M. C., McNeill, A., Burchardt, M., Jonas, U., & Liatsikos, E. N. (2006). Complications of endoscopic extraperitoneal radical prostatectomy (EERPE): Prevention and management. World Journal of Urology, 24(6), 668-675. https://doi.org/10.1007/s00345-006-0133-8