Exploring the Potential of Robotic Telesurgery in Remote Settings

Inclusion Criteria:

• Age 18 - 90

• Male or female

• Eligible participants for this telesurgery study must have a clearly definedindication for robotic urologic surgery, specifically:

• Localized Prostate Cancer (ICD-10: C61), appropriate for robotic radicalprostatectomy.

OR

-Benign Prostate diseases appropriate for robotic simple prostatectomy (ICD-10: N40) These diagnoses are confirmed by clinical examination, imaging, and/or pathology prior to surgical planning. Patients with vague or unspecified urologic conditions will be excluded to ensure the safety and appropriateness of the surgical intervention.

• Primary diagnosis of urinary system disease and prostate disorders (C61 and N40.1)scheduled to undergo treatment with robotic surgery. These patients don't haveaccess to robotic surgery in their routine and the study will give them theopportunity to have advanced technology and the gold-standard treatment with expertsin the field.

• Willing to participate in the study

• Mentally capable of comprehending the study protocol

Exclusion Criteria:

• Patients who, based on multidisciplinary evaluation (surgical, anesthetic, andmedical), are deemed not suitable for robotic surgery due to high perioperativerisk. This includes but is not limited to:

• Uncontrolled cardiovascular, pulmonary, or metabolic disease.

• Severe anesthetic risk classified as ASA Class IV or higher.

• Patients enrolled in another interventional research study that may interfere withsurgical safety or outcomes.

• Patients unwilling or unable to comply with the perioperative and follow-upschedule.

• Vulnerable populations are excluded from this study, including:

• Minors (under 18 years old)

• Prisoners

• Cognitively impaired or decisional incapacitated individuals