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Related Experiment Video

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Retzius-Sparing Robot-Assisted Radical Prostatectomy
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Radical perineal prostatectomy: Our initial experience.

Mustafa Güneş1, Mehmet Akyüz2, Fatih Uruç3

  • 1Department of Urology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey.

Turkish Journal of Urology
|September 2, 2015
PubMed
Summary

Radical perineal prostatectomy (RPP) shows promise for localized prostate cancer, offering favorable oncologic and functional outcomes. This surgical approach warrants consideration by urologists despite perceived difficulty.

Keywords:
Prostate cancerradical perineal prostatectomyradical prostatectomy

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Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Radical prostatectomy is standard for localized prostate cancer.
  • Minimally invasive and robotic surgery are increasingly preferred over open surgery.
  • The perineal approach for open radical prostatectomy is less favored due to perceived difficulty.

Purpose of the Study:

  • To present initial experience with learning and performing radical perineal prostatectomy (RPP).
  • To highlight RPP as a viable surgical option for localized prostate cancer.

Main Methods:

  • RPP was performed on 9 patients with localized prostate cancer after a brief training period.
  • Patients were evaluated for medical, perioperative, and major postoperative complications.

Main Results:

  • No anastomotic strictures occurred in 9 patients.
  • 44% of patients achieved immediate urinary continence post-catheter removal, with others continent by 3 months.
  • Of 7 nerve-sparing procedures, 2 had spontaneous erections, with others managed by PDE-5 inhibitors, injections, or prosthesis.

Conclusions:

  • RPP demonstrates promising oncologic and functional outcomes.
  • This surgical method should be considered by urologists, challenging its reputation for difficulty.