Retzius-Sparing approach for robot-assisted laparoscopic radical prostatectomy

Abstract

Robot-assisted laparoscopic radical prostatectomy (RARP) is currently the standard surgical treatment for localized prostate cancer. Since 2010, Dr. Aldo Bocciardi has developed a new anatomical approach through the rectovesical pouch at Niguarda Hospital in Milan. The technique has been fully standardized and described for all stages of prostate cancer with surgical indication; obviously, the larger is the anatomical damage, the worse will be the functional results. Sparing all the Retzius space structures, this approach allows an earlier and improved continence recovery, without compromising the oncological outcomes.