Single-port transvesical robot-assisted simple prostatectomy with total urethral preservation for patients unable to adopt the lithotomy position: A case report

Benign prostatic hyperplasia (BPH), prevalent in the aging male population, presented a unique surgical challenge in a 58-year-old patient with a history of multiple pelvic and hip surgeries, precluding conventional lithotomy and transurethral approaches. This report introduces an innovative, single-port transvesical robot-assisted simple prostatectomy with total urethral preservation. This pioneering technique, tailored for complex BPH management, demonstrated its efficacy and potential through favorable postoperative outcomes. This report underscores single-port transvesical robot-assisted simple prostatectomy with total urethral preservation as a promising surgical option for patients with BPH who are unable to assume the lithotomy position.