Comparison of training modalities for performing laparoscopic radical prostatectomy: experience with 1,000 patients.

Purpose: We report a detailed analysis of different training modalities on the transferability of laparoscopic radical prostatectomy to generations of surgeons.

Material And Methods: The first generation surgeon with experience with 600 cases and the second generation surgeon with 150 were trained in open retropubic radical prostatectomy and laparoscopy, whereas the third generation surgeon with 150 cases was trained only laparoscopically. The fourth generation of surgeons with a total of 50 cases was trained in our fellowship program.

Prosthetic mesh hernioplasty during laparoscopic radical prostatectomy.

Objectives: To evaluate the role of simultaneous laparoscopic mesh prosthetic hernioplasty during laparoscopic radical prostatectomy (LRP), because 5% to 10% of candidates for radical prostatectomy present with a detectable inguinal hernia at their preoperative physical examination. Moreover, data have suggested a greater incidence of inguinal hernia after open radical prostatectomy.

Methods: During 1035 LRP procedures, 50 laparoscopic mesh prosthetic hernioplasty procedures were performed in 37 patients (3.