Retzius-Sparing Robot-Assisted Robotic Prostatectomy: Past, Present, and Future.

2021-02

Davis, Meghan

Egan, Jillian

Marhamati, Shawn

Galfano, Antonio

Kowalczyk, Keith J

Incontinence

Outcomes

Prostate cancer

Retzius sparing prostatectomy

Robotic-assisted surgery

Urinary function

Journal Article

10.1016/j.ucl.2020.09.012

Radical prostatectomy has undergone many adaptations since its inception, including the Retzius-sparing robotic-assisted radical prostatectomy approach. In this article, we review the origins of radical prostatectomy, the theoretic basis for Retzius-sparing robotic-assisted radical prostatectomy, and outline the key steps of the procedure. To date, there have been 9 studies comparing the outcomes of Retzius-sparing robotic-assisted radical prostatectomy with standard robotic-assisted radical prostatectomy, which have demonstrated improved continence outcomes for Retzius sparing robotic assisted radical prostatectomy within the first year and equivalent oncologic efficacy out to 18 months. Further research is needed to evaluate sexual function outcomes as well as long-term oncologic outcomes.

link

The Urologic clinics of North America 2021; 48(1): 11-23

The Urologic clinics of North America