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Updated: Aug 6, 2026

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Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Single port transvesical robotic radical prostatectomy
Nicolas A Soputro1, Abdulrahman Al-Bayati, Jihad Kaouk
1Glickman Urological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Current Opinion in Urology
|July 23, 2026
Summary
Transvesical single port robotic radical prostatectomy (SP-RARP) offers improved patient comfort and faster recovery. This minimally invasive technique shows promise for better urinary continence and comparable oncological results.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Robotic Surgery
Background:
- Transvesical single port robotic radical prostatectomy (SP-RARP) is a novel technique.
- It is localized within the bladder, aiming for better patient outcomes and comfort.
Purpose of the Study:
- To review the surgical techniques for transvesical SP-RARP.
- To outline patient selection criteria.
- To summarize recent perioperative, oncological, and functional outcomes.
Main Methods:
- Review of recently published literature on transvesical SP-RARP.
- Analysis of surgical techniques, patient selection, and outcomes.
Main Results:
- Transvesical SP-RARP adoption has increased since 2020.
- Favorable perioperative outcomes include reduced blood loss, low complications, same-day discharge, and less pain.
- Improved early urinary continence recovery, maintained oncological outcomes, and erectile function were observed.
- It is effective for patients with a history of abdominal surgery.
Conclusions:
- Transvesical SP-RARP is a promising approach utilizing a dedicated SP robotic platform.
- It offers enhanced perioperative and functional outcomes.
- Improved patient comfort is a key benefit.