Related Experiment Video
Updated: Jan 5, 2026
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Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
8.9K
Laparoscopic radical prostatectomy with no anastomosis
Dario Vazquez-Martul1, Alfonso Barbagelata-Lopez1, Alicia Lopez-Fernandez1
1Urology Department, Complejo Hospitalario Universitario, A Coruña, Spain.
Urology Case Reports
|October 24, 2019
Summary
Radical prostatectomy (RP) traditionally requires vesicourethral anastomosis (VUA). This study introduces a laparoscopic RP technique preserving the urethra, eliminating the need for VUA and achieving immediate urinary continence.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Radical prostatectomy (RP) is a standard treatment for prostate cancer.
- Vesicourethral anastomosis (VUA) is a critical step in conventional RP, often associated with complications.
Observation:
- A 65-year-old patient with prostate cancer underwent laparoscopic RP.
- The surgical approach utilized conventional extraperitoneal access with complete urethral sparing.
Findings:
- The novel technique successfully avoided the need for vesicourethral anastomosis (VUA).
- The patient achieved immediate urinary continence with catheter removal on postoperative day 3.
- Pathological analysis confirmed pT2 adenocarcinoma with negative margins.
Implications:
- This minimally invasive technique offers a potential alternative to VUA in select prostate cancer patients.
- Favorable functional outcomes, including rapid continence, suggest improved patient recovery.
- Further research is warranted to validate this approach in a larger cohort.
