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Updated: Feb 6, 2026
12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
9.3K
Robot - assisted laparoscopic local recurrence resection after radical prostatectomy.
Fabio C M Torricelli1, Paulo Afonso de Carvalho1,2, Giuliano B Guglielmetti1,2
1Serviço de Urologia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brasil.
Summary
Robot-assisted surgery for recurrent prostate cancer after radical prostatectomy and salvage radiation therapy is safe. This technique may help selected patients avoid further adjuvant therapy.
Area of Science:
- Urology
- Surgical Oncology
- Robotic Surgery
Background:
- Local prostate cancer recurrence post-radical prostatectomy (RP) and salvage radiation therapy (sRDT) presents treatment challenges.
- Surgical resection is a potential, though less common, treatment option.
Observation:
- Two cases of recurrent prostate cancer post-RP and sRDT were evaluated using PSMA PET/CT.
- Both patients presented with biochemical recurrence and localized masses in the prostatic fossa.
Findings:
- Robot-assisted laparoscopic resection was successfully performed in both cases without complications.
- Pathological examination revealed prostate adenocarcinoma (Gleason 7 and 8) with negative margins and lymph nodes.
- Six-month follow-up showed preserved continence and undetectable PSA levels (<0.15 ng/mL).
Implications:
- Robot-assisted laparoscopic resection appears safe and effective for localized prostate cancer recurrence after RP and sRDT in experienced hands.
- This approach may allow selected patients to delay or avoid adjuvant therapies.
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