Open and robotic radical prostatectomy.

Area of Science:

• Urology
• Surgical Oncology

Background:

• Open retropubic radical prostatectomy was the standard for localized prostate cancer (PCa).
• Minimally invasive techniques, including laparoscopy and robot-assisted prostatectomy, are now prevalent.
• Key surgical goals for PCa include cancer control, urinary continence, and erectile function.

Purpose of the Study:

• To review the indications for radical prostatectomy.
• To describe the surgical techniques for open, laparoscopic, and robot-assisted radical prostatectomy.
• To discuss pre- and postoperative measures and consequences related to prostatectomy.

Main Methods:

• Review of current literature on radical prostatectomy techniques.
• Analysis of indications, surgical procedures, and outcomes.
• Evaluation of pre- and postoperative management and complications.

Main Results:

• Radical prostatectomy demonstrates improved cancer control and functional results.
• Minimally invasive approaches offer viable alternatives to open surgery.
• Complication rates have decreased with surgical advancements.

Conclusions:

• Radical prostatectomy, in its various forms, remains a primary treatment for localized PCa.
• Surgical advancements have enhanced both oncological and functional outcomes.
• Comprehensive management includes pre- and postoperative care to optimize results.