Robotic prostatectomy in a patient with a Miles operation

Robotic prostatectomy (RP) has recently been added to the treatments for localized prostate cancer and it is increasingly being utilized at many centers. The benefits of minimally invasive surgery, the enhanced functional outcomes and the increased patient demand have led to the popularity of this surgical technique. However, RP has been reported to be technically challenging in patients with a history of prior complex lower abdominal/pelvic surgery, morbid obesity, a large prostate, prior pelvic irradiation, neoadjuvant hormonal therapy or prior prostate surgery. We report here on our experience of robotic prostatectomy (RP) in a prostate cancer patient with a Miles's operation and this pateint had undergone adjuvant chemotherapy and pelvic irradiation for rectal cancer.