Retzius-Sparing Robotic-Assisted Laparoscopic Radical Prostatectomy: A Safe Surgical Technique with Superior Continence Outcomes

Abstract

Retzius-sparing RALP requires shorter console time, is oncologically safe, and leads to significantly superior continence outcomes compared with conventional RALP.

Reply: Retzius‐sparing robot‐assisted radical prostatectomy (RARP) vs standard RARP

“…This superiority might be maintained or equalized at 1 year . A few studies have compared the early oncological results between RS‐RARP and standard RARP and no significant difference was found . Recently, our group reported the mid‐term oncological outcomes of patients with high‐risk PCa treated with RS‐RARP and these were similar to those of large studies of conventional RARP.…”

“…found that the higher continence rate at 1 week (73.3% RS‐RARP vs 26.7% standard RARP; P = 0.000) had vanished at 1 year (100% vs 93.3%; P = 0.15). By contrast, a large recent prospective series showed that the superiority of RS‐RARP in terms of higher early urinary continence was maintained at 1 year (97.5% RS‐RARP vs 68.5% standard RARP) .…”

“…In summary, RS‐RARP is a novel surgical approach which is associated with better urinary continence recovery in the first few months compared with standard RARP . This superiority might be maintained or equalized at 1 year .…”

“…In summary, RS‐RARP is a novel surgical approach which is associated with better urinary continence recovery in the first few months compared with standard RARP . This superiority might be maintained or equalized at 1 year . A few studies have compared the early oncological results between RS‐RARP and standard RARP and no significant difference was found .…”

Retzius‐sparing robot‐assisted radical prostatectomy

“…The answers to all of these questions cannot be fully answered yet, but several trends are apparent from the results of existing series ( Table 1). [2][3][4][5][6] Advantages of RS-RARP Early (one to four weeks after surgery) pad-free rates appear to be consistently lower after RS-than AA-RARP ( Table 1). Given that post-prostatectomy stress urinary incontinence (PPSUI) has the greatest single influence 7 of all the various consequences of radical prostatectomy (RP) that negatively impact a patient's quality of life, 8 this is of considerable importance.…”