Prostate size ≥ 100 g and its association with long-term outcomes of Retzius-sparing robot-assisted radical prostatectomy

Maltzman, Ofir; Tappero, Stefano; Caviglia, Alberto; Palagonia, Erika; Buratto, Carlo; Chierigo, Francesco; Cellini, Valerio; Olivero, Alberto; Barbieri, Michele; Secco, Silvia; Bocciardi, Aldo Massimo; Galfano, Antonio; Dell’Oglio, Paolo

doi:10.1007/s00345-024-04985-4

World J Urol

2024

DOI: 10.1007/s00345-024-04985-4

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Prostate size ≥ 100 g and its association with long-term outcomes of Retzius-sparing robot-assisted radical prostatectomy

Ofir Maltzman,

Stefano Tappero,

Alberto Caviglia

et al.

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Cited by 2 publications

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Retzius sparing robot-assisted radical prostatectomy: optimizing functional results

Chierigo,

Caviglia,

Cellini

et al. 2024

World J Urol

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Retzius sparing robot-assisted radical prostatectomy: optimizing functional results

Chierigo,

Caviglia,

Cellini

et al. 2024

World J Urol

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Does a retzius-sparing surgical technique improve urinary continence recovery after a robot-assisted laparoscopic radical prostatectomy: results of a systematic review and meta-analysis of comparative studies

Yaxley,

Gianduzzo

2024

Prostate Cancer Prostatic Dis

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of trainee proficiency during the LC of RARP identified no difference in BRFS as well as one-year continence, sexual function and trifecta achievement between RS-RARP vs RARP [5]. A LC period of greater than 12 months was associated with a two-fold increase in the probability of proficiency score achievement among trainees. Therefore, a minimum 12-month training period including a modular step-by-step approach appears to be a reasonable training approach to achieve adequate RS-RARP experience at high-volume centres. Limited sample size, retrospective designs, and lack of data outcomes on training modalities prevents adequate assessment on the difference in training surgeons in the RS-RARP vs anterior RARP.This manuscript supports the increasing bank of low-moderate level evidence that RS-RALP improves immediate and early return of continence compared to the anterior transperitoneal approach. However, surgeons base their surgical technique on multiple factors, not just urinary continence. This includes, but is not limited to, surgical margin status, long term BRFS, erectile function and peri-operative complications. Therefore, early continence outcomes alone can't be used as an indication that one surgical technique is superior to another. The lack of robust high volume outcome data on long term BRFS compared to the traditional A-RARP remains a limitation to widespread adoption of the RS-RARP technique at present. However, Barayan et al. [6] reported that after a median 71.1 months follow up there was no statistical difference in the biochemical recurrence rate in their 120 patient RCT, so this limitation concern may change in the future.

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Prostate size ≥ 100 g and its association with long-term outcomes of Retzius-sparing robot-assisted radical prostatectomy

Cited by 2 publications

References 19 publications

Retzius sparing robot-assisted radical prostatectomy: optimizing functional results

Retzius sparing robot-assisted radical prostatectomy: optimizing functional results

Does a retzius-sparing surgical technique improve urinary continence recovery after a robot-assisted laparoscopic radical prostatectomy: results of a systematic review and meta-analysis of comparative studies

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