Prevention of Symptomatic Lymphoceles Using a Peritoneal Flap in Post-Prostatectomy Patients

Authors

• Neley Morales, University of LynchburgFollow

Specialty

Urologic Oncology

Advisor

Dr Marcio Moschovas

Abstract

A robotic-assisted radical prostatectomy has been considered the gold standard management for localized prostate cancer in centers with access to this technology. In this context, with the increasing number of patients undergoing robotic-assisted radical prostatectomies, a pelvic lymph node dissection is recommended to evaluate the extent of disease; however, this approach is not devoid of complications such as symptomatic lymphocele formation. This review examines whether incorporating a peritoneal flap reduces the risk of a symptomatic lymphocele, comparing it with patients without a peritoneal flap. The research used PubMed, American Urologic Association Journals, and MDPI databases to find peer-reviewed studies. The publication date was set to five years for all the searches populated from 2020 to 2025. The search terms “symptomatic lymphoceles” “flap” and “radical prostatectomy” were used to locate articles. The study types selected included symptomatic reviews, meta-analysis, retrospective reviews, and randomized controlled trials. The data assessed show mixed results, ranging from no change in symptomatic lymphocele formation to a reduction in symptomatic lymphocele formation from 27.2% to 10.3%. The study suggests that, from the reviewed data, prospective, randomized studies with multicenter involvement from multiple surgeons and long-term follow-up would benefit by highlighting the peritoneal flap technique's reproducibility and long-term efficacy.

Recommended Citation

Morales N. Prevention of Symptomatic Lymphoceles Using a Peritoneal Flap in Post-Prostatectomy Patients. University of Lynchburg DMSc Doctoral Project Assignment Repository. 2026; 8(1).