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Updated: Mar 27, 2026
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Comparative analysis of radical prostatectomy techniques using perineal or suprapubic approach in the treatment of
Gelbert Luiz Chamon do Carmo Amorim1, Geraldo Magela Gomes da Cruz1, Denny Fabrício Magalhães Veloso1
1Santa Casa de Belo Horizonte, Belo Horizonte, MG, BR.
Objective:
To compare the results of radical prostatectomy by perineal and suprapubic approaches as to operative time, procedure costs, and surgical site complications.
Methods:
The medical records of localized prostate cancer patients (PSA ≤ 10 ng/ml and Gleason score ≤ 6) were analyzed. Fifty-five patients were submitted to radical prostatectomy by perineal approach and 54 via suprapubic approach.
Results:
There were statistical differences between groups as to operative time (p < 0.05); for perineal approach it was in average 114 minutes (SD ± 0.03) and for suprapubic approach, an average of 167 minutes (SD ± 0.041). Prostatectomy via perineal approach resulted in 11 cases of surgical complications, and suprapubic approach, 3 cases.
Conclusions:
Radical prostatectomy via perineal approach took less time at a lower cost as compared to the suprapubic approach. However, there were more complications in patients submitted to perineal approach, mainly rectal lesions.
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