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Updated: Feb 12, 2026
12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
9.4K
Robotic perineal radical prostatectomy with high prostate volume.
Volkan Tugcu1, Abdulmuttalip Simsek, Ismail Yigitbasi
1Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Department of Urology, Istanbul. simsek76@yahoo.com.
Summary
Robotic perineal radical prostatectomy (r-PRP) offers a safe and effective minimally invasive option for prostate cancer patients, even with large prostates. This new technique preserves oncologic and functional outcomes without increasing complications.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Radical prostatectomy is a standard treatment for prostate cancer.
- Minimally invasive surgical techniques are continuously evolving.
- Robotic radical prostatectomy with a perineal approach (r-PRP) is an emerging technique.
Observation:
- A 66-year-old male with lower urinary tract symptoms and elevated PSA underwent prostate biopsy.
- Pathology revealed Gleason 3+3 adenocarcinoma.
- The patient had a large prostate volume (130 cc) with a middle lobe and a BMI of 32.
Findings:
- Robotic perineal radical prostatectomy (r-PRP) was successfully performed.
- The procedure took 140 minutes total, with 95 minutes at the console.
- Blood loss was 85 cc, and no intraoperative complications occurred.
Implications:
- r-PRP is a safe and feasible technique for patients with large prostates and prior surgical history.
- The procedure can be performed without prolonged operating times or increased morbidity.
- r-PRP shows promise in maintaining oncologic and functional outcomes in selected patients.
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