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Related Experiment Video

Updated: May 12, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
12:10

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Single Port Extraperitoneal Versus Multiport Transperitoneal Radical Prostatectomy: A Systematic Review and

Pedro L Furlam1, Caio F A Matalani1, Henrique L Lepine1

  • 1Division of Urology, Institute of Cancer of São Paulo, Universidade de São Paulo (USP), São Paulo, São Paulo, Brazil.

Clinical Genitourinary Cancer
|May 10, 2026
PubMed
Summary

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This summary is machine-generated.

Extraperitoneal single-port robotic-assisted radical prostatectomy (RA-SPRP) shows comparable oncologic and functional outcomes to multi-port (RA-MPRP) surgery. RA-SPRP offers faster recovery with shorter hospital stays and catheterization times.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Extraperitoneal single-port robotic-assisted radical prostatectomy (RA-SPRP) is an emerging minimally invasive technique.
  • Comparisons with the established multi-port transperitoneal robotic-assisted radical prostatectomy (RA-MPRP) are crucial for understanding its clinical utility.

Purpose of the Study:

  • To systematically review and analyze perioperative, oncologic, and functional outcomes of RA-SPRP versus RA-MPRP.
  • To compare key endpoints including surgical margins, recurrence rates, operative metrics, and patient recovery.

Main Methods:

  • Systematic review and meta-analysis following PRISMA guidelines.
  • Searched PubMed, EMBASE, SCOPUS up to April 2025, including seven comparative studies (1997 patients).
Keywords:
Minimally invasive surgeryOncological UrologyProstate cancerRobotic assisted radical prostatectomyRobotic surgery

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  • Assessed methodological quality using the ROBINS-I tool.

    • Main Results:

    • RA-SPRP showed significantly shorter console time and hospital stay.
    • Time to catheter removal was significantly reduced with RA-SPRP.
    • No significant differences were found in operative time, blood loss, positive margins, recurrence, complications, continence, or erectile function.

    Conclusions:

    • RA-SPRP offers comparable oncologic and functional outcomes to RA-MPRP.
    • RA-SPRP demonstrates advantages in early recovery, evidenced by shorter hospital stays and catheterization times.
    • Further randomized controlled trials are needed to validate these findings and standardize protocols.