Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

PROSTATE CANCER

Retzius-sparing RARP: improving functional outcomes

Retzius-sparing prostatectomy is an alternative approach to standard robot-assisted radical prostatectomy. Many surgeons advocate this technique as data suggest that it provides better early functional results than the standard approach without compromising oncological outcomes.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: Sagittal MRI scan showing the standard versus Retzius-sparing approach for dissection of the prostate during robot-assisted radical prostatectomy.

References

  1. Walsh, P. C. & Donker, P. J. Impotence following radical prostatectomy: insight into etiology and prevention. J. Urology 128, 492–497 (1982).

    Article  CAS  Google Scholar 

  2. Schuessler, W. W., Schulam, P. G., Clayman, R. V. & Kavoussi, L. R. Laparoscopic radical prostatectomy: initial short-term experience. Urology 50, 854–857 (1997).

    Article  CAS  Google Scholar 

  3. Costello, A. J. Considering the role of radical prostatectomy in 21st century prostate cancer care. Nat. Rev. Urol. 17, 177–188 (2020).

    Article  Google Scholar 

  4. Coughlin, G. D. et al. Robot-assisted laparoscopic prostatectomy versus open radical retropubic prostatectomy: 24-month outcomes from a randomised controlled study. Lancet Oncol. 19, 1051–1060 (2018).

    Article  Google Scholar 

  5. Galfano, A. et al. A new anatomic approach for robot-assisted laparoscopic prostatectomy: a feasibility study for completely intrafascial surgery. Eur. Urol. 58, 457–461 (2010).

    Article  Google Scholar 

  6. Rosenberg, J. E. et al. Retzius-sparing versus standard robotic-assisted laparoscopic prostatectomy for the treatment of clinically localized prostate cancer. Cochrane Database Syst. Rev. 8, CD013641 (2020).

    PubMed  Google Scholar 

  7. Umari, P. et al. Retzius-sparing versus standard robot-assisted radical prostatectomy: a comparative prospective study of nearly 500 patients. J. Urol. https://doi.org/10.1097/ju.0000000000001435 (2020).

    Article  PubMed  Google Scholar 

  8. McClimans, L. et al. Philosophical perspectives on response shift. Qual. Life Res. 22, 1871–1878 (2013).

    Article  Google Scholar 

  9. Mottet, N. et al. EAU - EANM - ESTRO - ESUR - SIOG Guidelines on prostate cancer. EAU https://uroweb.org/guideline/prostate-cancer/ (2020).

  10. Galfano, A. et al. Retzius-sparing robot assisted radical prostatectomy: early learning curve experience in three continents. BJU Int. https://doi.org/10.1111/bju.15196 (2020).

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Antonio Galfano.

Ethics declarations

Competing interests

The authors declare no competing interests.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Galfano, A., Bocciardi, A.M. Retzius-sparing RARP: improving functional outcomes. Nat Rev Urol 18, 73–74 (2021). https://doi.org/10.1038/s41585-020-00405-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41585-020-00405-5

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing