International Delphi Consensus on Single Port Robotic Radical Prostatectomy

Document Type

Conference Proceeding

Publication Date

5-2026

Publication Title

Journal of Urology

Abstract

INTRODUCTION AND OBJECTIVES: To develop a best practice consensus on the application of the Single Port (SP) robotic platform for robotic radical prostatectomy (RARP).METHODS: A 34-item questionnaire was developed addressing the general principles, patient selection, surgical technique, clinical outcomes, and the learning curve of SP-RARP. Each statement was rated using a binary Likert scale (“agree” or “disagree”). The survey was distributed via email to all practicing SP surgeons across the United States and Europe. Consensus was defined as ≥75% agreement on a given statement. RESULTS: A total of 53 surgeons participated in the Delphi Consensus process. Of the 34 statements, 28 (82.4%) reached agreement in the first round, with the remainder achieving consensus in the second round. The panel agreed that there are no absolute contraindications to SP-RARP (100%), including cases requiring standard pelvic lymph node dissection (90.7%). Strong agreement was also reached regarding the potential benefits of SP-RARP, including its utility in patients with extensive prior abdominal surgery (88.4%), as well as its role in promoting shorter length of hospital stay (97.7%), reduced risk of incisional hernia (83.7%), and a faster recovery of urinary continence, particularly with the transvesical technique (76.2%). Regarding the learning curve, consensus was reached on the need for a structured training pathway (90.7%), with most participants recommending beginning with extraperitoneal SP-RARP before advancing to the transvesical approach (83.7%). CONCLUSIONS: This Delphi consensus demonstrates broad agreement among experienced SP-RARP surgeons in the United States and Europe, underscoring the safety, feasibility, and potential clinical advantages of SP-RARP, particularly in expanding patient selection, improving perioperative outcomes, and reinforcing the importance of structured training programs.

Volume

215

Issue

5S

First Page

e642

Last Page

e642

Comments

American Urological Association Annual Meeting, May 15-18, 2026, Washington, DC

DOI

10.1097/01.JU.0001191456.93136.76.02

Link to Full Text

Share

COinS