The evolution and resurgence of perineal prostatectomy in the robotic surgical era.

Abstract:

PURPOSE:To review the recent advances in terms of surgical technique and new robotic platforms applied to radical perineal prostatectomy (RPP). METHODS:A literature review was performed focusing on original articles on perineal prostatectomy searching via Medline/Pubmed and Embase. The entire spectrum was covered such as development of surgical technique including pelvic lymphadenectomy, adoption of novel surgical platforms, learning curve and future directions. RESULTS:Surgical removal of the prostate plays a significant role on the treatment of localized prostate cancer (PCa). RPP was the first surgical approach described for radical prostatectomy. This technique declined in popularity secondary to the development of the retropubic approach. Recently, the appearance of novel robotic technology has generated renewed interest in the perineal approach. CONCLUSION:There has been a recent resurgence on the interest of radical perineal prostatectomy for the treatment of localized PCa driven by the advent of new robotic surgical technologies into the field. Future studies are needed to better determine the learning curve of the perineal approach and its current role in the treatment of prostate cancer.

journal_name

World J Urol

journal_title

World journal of urology

authors

Garisto J,Bertolo R,Wilson CA,Kaouk J

doi

10.1007/s00345-019-03004-1

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

821-828

issue

4

eissn

0724-4983

issn

1433-8726

pii

10.1007/s00345-019-03004-1

journal_volume

38

pub_type

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