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February 2, 2026Open Access

Ultra low pressure robotic assisted radical prostatectomy (RARP) with pelvic lymph node dissection performed as a day case: first reported case in the UK

Key Points

To evaluate the feasibility and safety of performing ultra-low pressure robotic-assisted radical prostatectomy with pelvic lymph node dissection as a day case.
Conducted robotic-assisted radical prostatectomy at 6 mmHg pressure
Included pelvic lymph node dissection during the procedure
Selected appropriate candidate for same-day discharge based on health status
Provided patient counseling and perioperative optimization
Patient safely discharged on the same day after surgery
No complications reported postoperatively
Minimal discomfort experienced by the patient after discharge

Abstract

Abstract A man in his sixties with locally advanced prostate cancer underwent ultra-low pressure robotic-assisted radical prostatectomy (RARP) with pelvic lymph node dissection (PLND) and was safely discharged the same day. This is the first reported UK case of day-case RARP with PLND performed at 6 mmHg. The patient experienced no complications and reported minimal discomfort postoperatively. We highlight that, with appropriate patient selection, patient’s counselling, perioperative optimization, and ultra-low pressure techniques, same-day discharge after RARP with PLND is feasible, safe, and potentially scalable within NHS pathways.

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