Retzius-sparing robot-assisted radical prostatectomy: initial experience
DOI:
https://doi.org/10.48193/revistamexicanadeurologa.v83i5.1061Keywords:
Retzius-Sparing, Robotic Surgery, Prostate CancerAbstract
Introduction: Robot-Assisted Radical Prostatectomy has positioned itself as the approach of choice in the treatment of prostate cancer.
Objective: of this study is to describe our experience with the Retzius-sparing technique started in 2018.
Material and methods: to describe the perioperative, functional and oncological outcomes of 13 patients who were taken to the Retzius space-preserving approach in patients with cancer of the prostate, evaluating perioperative variables, perioperative outcome, pathology, urinary continence, sexual function and oncological control. SPPS Windows V 22 was used for the statistical description.
Results: age of 64.9 years, specific prostate antigen of 25.85 ng/dl, pre-surgical IPSS 61% had mild symptoms, 30% moderate and 7% severe symptoms, the risk groups corresponded to low in 15%, intermediate 38% and high 46%. 6 patients two pT2 and four pT3 of which 4 received three-dimensional external conformal radiotherapy and two radiotherapy plus total androgen deprivation.
Conclusions: a slight tendency to control early urinary continence has been observed with the Retzius-sparing technique, but over time the continence rates are equalized.
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