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Best Practice in Preoperative Surgical Planning for Robotic-assisted Radical Prostatectomy: A European Consensus
Elizabeth Day1, Anders Bjartell2, Ashwin Sridhar3
1Department of Urology, Ayr University Hospital, Ayrshire, UK; Department of Urology, University College London Hospital NHS Foundation Trust, London, UK.
European Urology Oncology
|January 9, 2026
Summary
Developing a preoperative surgical plan is essential for robotic-assisted radical prostatectomy (RARP). This consensus statement outlines best practices to optimize surgical planning and improve patient outcomes.
Area of Science:
- Urology
- Surgical Oncology
- Robotic Surgery
Background:
- Robotic-assisted radical prostatectomy (RARP) aims for optimal outcomes through surgical planning.
- High-level evidence for preoperative planning in RARP is currently lacking.
Purpose of the Study:
- To develop a best practice statement for preoperative surgical planning in RARP.
- To supplement existing evidence-based guidelines with expert consensus.
Main Methods:
- A modified RAND/University of California Los Angeles consensus exercise was employed.
- 14 panellists reviewed 101 statements over three rounds, with ≥75% agreement defining consensus.
Main Results:
- A preoperative surgical plan was deemed essential for RARP.
- 73 statements reached consensus, with 34 achieving consensus across six domains.
- The plan provides surgeons with information to refine techniques and improve outcomes.
Conclusions:
- Consensus statements identify best practices for RARP surgical planning.
- Standardization of surgical approaches can be facilitated by these best practices.
- Identified gaps in consensus can guide future research in RARP planning.
