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Introduction and purpose Prostate cancer is the most common malignant tumor in men in Poland. In 2021, the standardized incidence rate was 48.2 cases per 100,000 people. It is diagnosed mainly in men over 60 years of age. The choice of treatment method depends on the stage of the disease, general condition and age of the patient. Treatment mainly includes surgery, radiotherapy and hormone therapy. In the case of surgical procedures, it is possible to perform prostate cancer surgery using the Da Vinci single-port surgical robot. The aim of this literature review is to describe the procedure of radical prostatectomy using the da Vinci single-port robot and to assess the effectiveness of radical prostatectomy using the da Vinci single-port robot compared to open and laparoscopic prostatectomy. Material and methods This review of studies was based on articles obtained from the scientific database PubMed. Key search terms included prostate cancer; robot-assisted radical prostatectomy; robotic surgery; da Vinci Surgical System; da Vinci single-port; laparoscopic prostatectomy; open prostatectomy. Conclusions Currently, the da Vinci single-port surgical system is playing an increasingly important role in radical prostatectomy centers. It is increasingly replacing open radical prostatectomies due to its higher treatment efficacy and fewer complications. However, no significant differences have been demonstrated compared to classical laparoscopic surgery. Further studies are also necessary to assess functional and oncological results.

Introduction: & Objectives. Rectal injury and recto-urethral fistula (RUF) formation are severe complications after surgical treatment of prostate cancer . There are various surgical techniques as well as conservative methods for the treatment of RUF. Nonsurgical approach can be used in nontoxic, minimally symptomatic patients., Materials & Methods: From 2012 to 2016, 825 patients (mean age 68y) with LPR to be performed were recruited in the study. Postoperatively RUF developed in 7 patients (0.8%) in average in 10 days after surgery. Five cases were uncomplicated presented with pneumaturia, dysuria or urine per rectum. Two patients with fecaluria and previous history of radiotherapy or androgen deprivation were excluded from the study group. Conservative management include: 1)bowel rest 2)broad-spectrum antibiotics after urine culture 3) fully absorbable diet (combination of parenteral and enteral nutrition) 4) bladder drainage (urethral catheter or suprapubic tube). Duration of conservative treatment was 4 weeks. After treatment all patients underwent a voiding cystourethrogram., Results: During the treatment one patient has developed severe UTIs and surgical treatment were perfomed. The remaining 4 patients had spontaneous healing of the fistula and normal cystourethrogram. With the median follow up of 24 month after RUF treatment all 4patients had no fistula signs and they were fully continent. Overall RUF closure using nonsurgical treatment was successful in 4 of 5 cases (80%)., Conclusions: Conservative management of RUF is a highly effective option which can be used to avoid major surgery and temporary colostomy. Nonsurgical treatment is a feasible method in selected patients with RUF.