Editing Robot-assisted Laparoscopic Prostatectomy (section)

==Pre-operative Preparation==
*Patient preparation
**Encourage pre-operative Kegel exercises, three times a day
** Discuss sperm preservation in young patients who might consider fathering children
*'''<span style="color:#ff0000">Pre-operative imaging</span>'''
**'''<span style="color:#ff0000">Primary tumor, if MRI available</span>'''
***'''Location of lesions'''
****Proximity to neurovascular bundles
***'''Extraprostatic extension'''
***'''Bladder neck'''
**Metastatic staging
*Hold/bridge anticoagulation medications prior to surgery
**ASA 7 days
**Clopidogrel 5 days
**Apixaban 2 days
*'''Pre-operative testing'''
**'''Urinalysis +/- culture''' 
** '''CBC'''

* '''Venous thromboembolism prophylaxis'''
**Compression stockings
**Heparin[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456347/]
*'''<span style="color:#ff0000">Antibiotics</span>'''
**'''<span style="color:#ff0000">2019 AUA Best Practice Guidelines</span>''' for Open, Laparoscopic or Robotic Surgery involving controlled entry into urinary tract e.g. renal surgery, nephrectomy, partial or otherwise, ureterectomy pyeloplasty, '''<span style="color:#ff0000">radical prostatectomy</span>'''; partial cystectomy, etc[https://pubmed.ncbi.nlm.nih.gov/31441676/]
***'''<span style="color:#ff0000">Prophylaxis Indicated: All cases</span>'''
****'''<span style="color:#ff0000">Antimicrobial(s) of Choice: Cefazolin or TMP-SMX</span>'''
****Alternative Antimicrobial(s), if required: Ampicillin/Sulbactam or Aminoglycoside and Metronidazole or Aztreonam and Metronidazole or Aminoglycoside and Clindamycin or Aztreonam and Clindamycin
****'''<span style="color:#ff0000">Duration of Therapy: Single dose</span>'''