Intermediate-term oncological and functional outcomes in prostate cancer patients treated with perineal robot-assisted radical prostatectomy: A single center analysis

A novel anterior approach that involves Retzius space development between the umbilical ligaments is associated with a lower incidence of postoperative inguinal hernia in robotic radical prostatectomy

“…Our novel approach is a hybrid of the HOOD technique and conventional ARP, and most of the surgical techniques used are similar to those in conventional ARP. We believe that this H-ARP is likely to be more applicable compared to RS-RP and perineal RP, unlike being applied to all prostate cancer due to the difficulty of the surgical procedure and potentially high positive surgical margins especially in anterior tumors [ 11 , 20 , 21 , 22 ]. At our institute, more than 90% of robotic RPs have been performed using this technique since it was developed in December 2020 ( Supplementary Fig.…”