摘要Objective:To describe the surgical technique and report the early outcomes of the transvesical(TV)approach to single-port(SP)robot-assisted radical prostatectomy.Methods:All procedures were performed at a single center by one surgeon.We identified the first 100 consecutive patients with clinically localized prostate cancer that underwent SP TV robot-assisted radical prostatectomy using the da Vinci SP robotic surgical system.Data were collected prospectively and analyzed with descriptive statistics.The primary outcomes as-sessed were postoperative urinary continence,rate of biochemical recurrence,and sexual function.Results:All procedures were performed without extra ports or conversion.The median age was 62.1 years and 49.0％of the patients had abdominal surgery history.The preoperative me-dian prostate-specific antigen value and prostate volume were 5.0 ng/mL and 33.0 mL,respec-tively.There were no intraoperative complications.The median operative time and estimated blood loss were 212.5 min and 100.0 mL,respectively.A total of 92.0％of patients were dis-charged within 24.0 h,with an overall median length of stay of 5.6 h.Only 4.0％of patients required opioid prescriptions at discharge.The median Foley catheter duration was 3 days.Positive margins were present in 15.0％of cases.Median follow-up was 10.4 months.Conti-nence rate was immediate after Foley removal in 49.0％of cases,65.0％at 2 weeks,77.4％at 6 weeks,94.1％at 6 months,and 98.9％at 1 year.One case of biochemical recurrence(1.0％)was noted 3 months after surgery.Conclusion:The SP TV approach for radical prostatectomy cases is a safe and feasible tech-nique for patients with clinically localized prostate cancer.This technique offers advantages of short hospital stay,minimal narcotic use postoperatively,and promising early return of uri-nary continence,without compromising oncologic outcomes.