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Retzius Sparing prostatectomy

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...
February 3, 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
J Stephen Jones
This report describes 2 patients who underwent cystoprostatectomy for bladder cancer after bilateral laparoscopic inguinal herniorrhaphy by using a sheet of mesh that obliterated the space of Retzius. Two men who had undergone bilateral laparoscopic herniorrhaphy with a sheet of polypropylene mesh presented with muscle-invasive bladder cancer. Their operative findings are presented. Despite reports suggesting that prostatectomy and, by implication, cystectomy could not be safely performed in this setting, both men underwent surgical exploration because of the lack of adequate potentially curative alternatives...
December 2007: Urology
Surena F Matin
OBJECTIVES: To determine the incidence of, and ability to preserve, accessory pudendal arteries (APAs) in patients undergoing laparoscopic radical prostatectomy (LRP). The incidence of APAs is not well established. Preservation of APAs may be important for the maintenance of erectile function after prostatectomy. Data are limited regarding the ability to preserve APAs during laparoscopic surgery. METHODS: At the beginning of each of 70 consecutive laparoscopic radical prostatectomies performed at my institution, a purposeful search for APAs was performed during dissection of the space of Retzius...
May 2006: Urology
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