Standardizing radical prostatectomy with the Versius robotic system: technical setup and early institutional experience.

Robot-assisted radical prostatectomy (RARP) is the gold standard for localized prostate cancer, but the high cost of robotic systems limits adoption. The Versius robotic system, approved in 2018, offers a cost-effective alternative with modular design and ergonomic benefits. This study evaluates its technical setup, intraoperative performance, and early institutional experience with RARP. A detailed description of all the elements and the optimal setup for radical prostatectomy in order to minimize issues or clashes between arms and to improve the beginning of a Versius robot program in other centers. A descriptive analysis of 135 patients undergoing RARP using the Versius system was conducted between May 2023 and February 2025. Four urologists, two with prior robotic surgery experience and two beginners, performed the procedures. An optimal setup of the robot does RARP feasible with the Versius robot system, with competitive times of surgery. Limitations include the study's single-center design and the novelty of the Versius system in this setting, this makes necessary this type of studies by developing the setup and critical points of a new robotic system. The Versius robotic system is promising for RARP, offering ergonomic benefits and efficient surgical workflows. While early results are encouraging, further studies are needed to refine its setup and optimize use for broader clinical adoption.