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Related Experiment Video

Updated: Jun 6, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Radical perineal prostatectomy: the first experience.

J Hadzi-Djokić1, T Pejcić, V Colović

  • 1Serbian Academy of Sciences and Arts, Belgrade, Serbia.

Acta Chirurgica Iugoslavica
|November 12, 2010
PubMed
Summary

Perineal radical prostatectomy (PRP) is an effective surgical option for localized prostate cancer, offering excellent oncological outcomes and preserving urinary and sexual function in patients.

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Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Localized prostate cancer (PCa) requires effective treatment options.
  • Perineal radical prostatectomy (PRP) is a less common surgical approach.

Purpose of the Study:

  • To present the uncommon surgical procedure of perineal radical prostatectomy (PRP).
  • To evaluate the outcomes of PRP for localized prostate cancer.

Main Methods:

  • Six patients with localized prostate cancer underwent PRP between 2006 and 2010.
  • Patient characteristics included average age 65 years, average PSA 7.8 ng/ml, stages pT2b-pT2c, and Gleason score 4-7.

Main Results:

  • All patients achieved negative surgical margins.
  • Average operative time was 109 minutes with 525 ml blood loss.

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Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Photoselective Vaporesection of the Prostate via an End-firing Lithium Triborate Crystal Laser
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  • Postoperative urinary continence was achieved by all patients within three months, with an average PSA of 0.07 ng/ml.

    • Conclusions:

    • Perineal radical prostatectomy (PRP) is a valuable procedure for localized prostate cancer.
    • PRP demonstrates good oncological results.
    • PRP preserves urinary and sexual function.