Features of robot-assisted prostatectomy with a pronounced middle lobe of the prostate gland

A clinical observation of surgical treatment of a patient with a malignant oncological process in the prostate gland, with the presence of a prolapsing prostate into the bladder and a prostate volume of 88 cm3 is presented. The peculiarity of this clinical case lies in the intraoperative picture during surgery, staged complexity, due to the pronounced middle lobe of the prostate gland. A multidisciplinary and radical approach to solving this situation helped in the future to avoid cancer relapse as much as possible and preserve the neurovascular bundles of the prostate gland. Thanks to this, the patient underwent a rehabilitation course in the shortest possible time and returned to his usual way of life.