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Updated: Oct 30, 2025
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Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
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Bladder neck sparing during robot-assisted laparoscopic radical prostatectomy: Six-year experience
Sercan Yilmaz1, Esat Ak2, Eymen Gazel3
1Department of Urology, Gulhane Training and Research Hospital, Ankara, Turkey.
Northern Clinics of Istanbul
|July 5, 2021
Summary
This study shows a novel bladder neck sparing technique in robot-assisted radical prostatectomy (RALP) leads to excellent long-term urinary continence. The technique provides very early continence after catheter removal, improving quality of life for prostate cancer patients.
Area of Science:
- Urology
- Surgical Oncology
- Robotic Surgery
Background:
- Prostate cancer is a leading diagnosis in developed countries.
- Radical prostatectomy (RP) is standard for organ-confined disease.
- Robot-assisted laparoscopic radical prostatectomy (RALP) has gained popularity.
Purpose of the Study:
- To present long-term outcomes of a novel bladder neck preserving technique in RALP.
- Evaluate the efficacy of this technique in achieving urinary continence.
- Assess quality of life post-surgery.
Main Methods:
- Retrospective analysis of 331 patients undergoing RALP with bladder neck sparing technique (Jan 2012-Dec 2017).
- Utilized a four-armed da Vinci robotic surgical system.
- Assessed Quality of Life (QoL) using SF-12 questionnaire at baseline, post-catheter removal, and 1 month post-RALP.
Main Results:
- Mean operation time: 76.9±28.9 min; Estimated blood loss: 51.6±22.9 ml.
- Immediate continence (post-catheter removal): 93.6% (310 patients).
- Continence rates at 1 month: 96% (318 patients); at 1 year: 99.3% (329 patients).
Conclusions:
- The bladder neck sparing technique in RALP is highly effective for achieving long-term urinary continence.
- This novel approach facilitates very early continence post-catheter removal.
- The technique offers favorable oncologic outcomes alongside improved functional results.
