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Retzius Sparing prostatectomy

Rabii Madi, Rashid K Sayyid
No abstract text is available yet for this article.
May 23, 2018: Journal of Endourology
Ki Don Chang, Ali Abdel Raheem, Young Deuk Choi, Byung Ha Chung, Koon Ho Rha
OBJECTIVE: To evaluate the safety and proficiency of the Revo-i® robotic platform (Meere Company Inc.) in the treatment of prostate cancer (PCa). PATIENTS AND METHODS: A prospective study was carried out on 17 patients with clinically localized PCa treated between 17 August 2016 and 23 February 2017 at our urology department using the Revo-i. Patients underwent Retzius-sparing robot-assisted radical prostatectomy (RS-RARP). The primary objective was to describe the RS-RARP step-by-step surgical technique using the Revo-i...
April 12, 2018: BJU International
Antonio Galfano, Daniele Panarello, Silvia Secco, Dario DI Trapani, Michele Barbieri, Giancarlo Napoli, Elena Strada, Giovanni Petralia, Aldo M Bocciardi
BACKGROUND: The objective of our study is to evaluate the effect of prostatic volume on the outcomes of Retzius-Sparing robot-assisted radical Prostatectomy (RSP). METHODS: All the consecutive patients undergoing RSP up to January 2015 were included. The series was divided into three groups (<40 g, 40-60 g, >60 g). Perioperative, oncological and functional data were prospectively recorded. Potency was defined as erections sufficient for penetration; continence as no pad or 1 safety liner...
March 28, 2018: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
Bernardino De Concilio, Tommaso Silvestri, Matteo Justich, Francesca Vedovo, Guglielmo Zeccolini, Antonio Celia
OBJECTIVE: To present a novel surgical concept by using the trans-Douglas approach to perform a robotic-assisted simple prostatectomy (RASP) for high-volume benign prostate hyperplasia. This transposition from oncological surgery enables performance of a better bladder neck sparing adenomectomy with good functional results. MATERIALS AND METHODS: The index patient is a 67-year-old man with a history of severe urinary flow outlet obstruction. Combination medical therapy is not effective...
May 2018: Urology
Li-Wen Chang, Sheng-Chun Hung, Ju-Chuan Hu, Kun-Yuan Chiu
BACKGROUND/AIM: We attempted to evaluate the association of early continence outcome of Retzius-sparing robotic assisted radical prostatectomy (RARP) and bladder neck descent with postoperative cystography. PATIENTS AND METHODS: From November 2014 to December 2015, 30 patients with prostate cancer who received Retzius-sparing LRP/ RARP were compared to 30 patients that received retropubic approach RARP with propensity score matching analysis. Cystogram was used to evaluate the bladder neck descent using the bladder neck to pubic symphysis (BNPS) ratio and the continence state was evaluated...
January 2018: Anticancer Research
Mani Menon, Deepansh Dalela, Marcus Jamil, Mireya Diaz, Christopher Tallman, Firas Abdollah, Akshay Sood, Linda Lehtola, David Miller, Wooju Jeong
PURPOSE: We report a 1-year update of functional urinary and sexual recovery, oncologic outcomes and postoperative complications in patients who completed a randomized controlled trial comparing posterior (Retzius sparing) with anterior robot-assisted radical prostatectomy. MATERIALS AND METHODS: A total of 120 patients with clinically low-intermediate risk prostate cancer were randomized to undergo robot-assisted radical prostatectomy via the posterior and anterior approach in 60 each...
May 2018: Journal of Urology
Ben Gys, Karen Fransis, Guy Hubens, Sylvie Van den Broeck, Bart Op de Beeck, Niels Komen
OBJECTIVE: We would like to present a patient with a history of ulcerative colitis suffering from a synchronous rectal and prostate cancer treated with a laparoscopic total proctocolectomy (with TaTME) and Retzius sparing RARP simultaneously. METHODS: Retzius sparing RARP with bilateral lymph node harvesting was performed first. Afterwards, TaTME was commenced with the placement of a Lonestar® retractor and GelPort® . Anterior dissection was troubled unexpectedly by outspoken fibrosis...
December 4, 2017: Acta Chirurgica Belgica
Yasmin Abu-Ghanem, Zohar Dotan, Jacob Ramon, Dorit E Zilberman
Retzius space sparing (RSS) during laparoscopic robot-assisted radical prostatectomy (RALP) has been offered as an approach that reduces perioperative complications and enables faster gaining of full urinary continence due to bladder anatomy preservation. Retro and transperitoneal techniques have been proposed, whereby RSS has been implemented. We sought to explore whether Retzius space reconstruction (RSR) following transperitoneal RALP will be an advantageous step as well. A prospective registry database of 102 consecutive transperitoneal RALP cases performed by a single surgeon was reviewed...
November 27, 2017: Journal of Robotic Surgery
Lawrence H C Kim, Glen Denmer Santok, Ali Abdel Raheem, Kidon Chang, Trenton Lum, Byung Ha Chung, Young Deuk Choi, Koon Ho Rha
No abstract text is available yet for this article.
November 17, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Rashid K Sayyid, William G Simpson, Caroline Lu, Martha K Terris, Zachary Klaassen, Rabii Madi
PURPOSE: To report early operative outcomes and assess continence in 100 consecutive patients who underwent Retzius-sparing robotic-assisted laparoscopic radical prostatectomy (RALP). MATERIALS AND METHODS: This was a prospective, single-center, consecutive case series of 100 and 100 patients undergoing a Retzius-sparing and a conventional RALP, respectively, by a single surgeon between March 2015 and April 2017. RESULTS: Baseline patient characteristics were similar between the two groups...
December 2017: Journal of Endourology
Antonio Galfano, Silvia Secco, Aldo Massimo Bocciardi
No abstract text is available yet for this article.
November 2017: European Urology
Deepansh Dalela, Wooju Jeong, Madhu-Ashni Prasad, Akshay Sood, Firas Abdollah, Mireya Diaz, Patrick Karabon, Jesse Sammon, Marcus Jamil, Brad Baize, Andrea Simone, Mani Menon
BACKGROUND: Retzius-sparing (posterior) robot-assisted radical prostatectomy (RARP) may expedite postoperative urinary continence recovery. OBJECTIVE: To compare the short-term (≤3 mo) urinary continence (UC), urinary function (UF), and UF-related bother outcomes of posterior RARP compared with standard anterior approach RARP. DESIGN, SETTING, AND PARTICIPANTS: A total of 120 patients aged 40-75 yr with low-intermediate-risk prostate cancer (per the National Comprehensive Cancer Network guidelines) underwent primary RARP at a tertiary care institution...
November 2017: European Urology
K D Chang, A Abdel Raheem, G D R Santok, L H C Kim, T G H Lum, S H Lee, W S Ham, Y D Choi, K H Rha
BACKGROUND: Postoperative inguinal hernia (IH) is a non-negligible sequelae with a wide array of rates after robot-assisted laparoscopic radical prostatectomy (RALP). Our aim was to evaluate the incidence and risk factors of postoperative IH development in men undergoing RALP. METHODS: A retrospective analysis of 839 patients "541 of conventional-RALP (C-RALP), and 298 of Retzius sparing-RALP (RS-RALP)" received treatment of prostate cancer between 2005 and 2016 and met with our inclusion criteria was performed...
August 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Glen D R Santok, Ali Abdel Raheem, Lawrence H C Kim, Kidon Chang, Trenton G H Lum, Byung H Chung, Young D Choi, Koon H Rha
OBJECTIVE: To investigate the effect of preoperative prostate volume (PV) on the perioperative, continence and early oncological outcomes among patients treated with Retzius-sparing robot-assisted laparoscopic radical prostatectomy (RS-RALP). PATIENTS AND METHODS: This is a retrospective analysis of 294 patients with organ-confined prostate cancer treated with RS-RALP in a high-volume centre from November 2012 to February 2015. Patients were divided into three groups based on their transrectal ultrasonography estimated PV as follows: group 1, <40 mL (231 patients); group 2, 40-60 mL (47); group 3, >60 mL (16)...
January 2017: BJU International
Ali Abdel Raheem, Glen Denmer Santok, Dae Keun Kim, Irela Soto Troya, Ibrahim Alabdulaali, Young Deuk Choi, Koon Ho Rha
We present a 61-year-old man who was diagnosed with synchronous prostate cancer and suspicious renal cell carcinoma of the right kidney, treated with combined Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) and robot-assisted partial nephrectomy (RAPN). The combined approach using RS-RARP and RAPN is technically feasible and safe surgical option for treatment of concomitant prostate cancer and suspicious renal cell carcinoma.
March 2016: Investigative and Clinical Urology
Anastasios D Asimakopoulos, Roberto Miano, Antonio Galfano, Aldo Massimo Bocciardi, Giuseppe Vespasiani, Enrico Spera, Richard Gaston
To provide an overview of the anatomical landmarks needed to guide a retropubic (Retzius)-sparing robot-assisted laparoscopic prostatectomy (RALP), and a step-by-step description of the surgical technique that maximizes preservation of the periprostatic neural network. The anatomy of the pelvic fossae is presented, including the recto-vesical pouch (pouch of Douglas) created by the reflections of the peritoneum. The actual technique of the trans-Douglas, intrafascial nerve-sparing robotic radical prostatectomy is described...
October 2015: Clinical Anatomy
Jeffrey A Cadeddu
No abstract text is available yet for this article.
March 2015: Journal of Urology
Sey Kiat Lim, Kwang Hyun Kim, Tae-Young Shin, Woong Kyu Han, Byung Ha Chung, Sung Joon Hong, Young Deuk Choi, Koon Ho Rha
OBJECTIVE: To compare the early peri-operative, oncological and continence outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy (RALP) with those of conventional RALP. MATERIALS AND METHODS: Data from 50 patients who underwent Retzius-sparing RALP and who had at least 6 months of follow-up were prospectively collected and compared with a database of patients who underwent conventional RALP. Propensity-score matching was performed using seven preoperative variables, and postoperative variables were compared between the groups...
August 2014: BJU International
Antonio Galfano, Dario Di Trapani, Francesco Sozzi, Elena Strada, Giovanni Petralia, Manuela Bramerio, Assunta Ascione, Marcello Gambacorta, Aldo Massimo Bocciardi
BACKGROUND: Robot-assisted laparoscopic radical prostatectomy (RARP) has become the main surgical option for localized prostate cancer. We recently developed a new approach for RARP, passing through the pouch of Douglas and avoiding all the Retzius structures involved in continence and potency preservation. OBJECTIVE: To report the functional and oncologic results of our first 200 patients operated on using this new approach. DESIGN, SETTING, AND PARTICIPANTS: This was a prospective, noncontrolled case series including the first 200 consecutive patients undergoing this kind of surgery (January the 1st, 2010 to December the 31st, 2011)...
December 2013: European Urology
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