Indication and selection
This operation is distinct from radical prostatectomy for cancer. It is reserved for men with significant lower urinary tract obstruction from a very large benign prostate in whom the anatomy and prior surgery suit a transvesical robotic approach. Not all large prostates are suitable for SP.
Evidence and experience
The Franco et al. 2025 meta-analysis included three SP simple prostatectomy studies alongside SP-RARP series.2 Multi-institutional technique and outcome papers underpin current international experience; individual outcomes are discussed in clinic without promotional claims.