What is it about?
This small study by a Santis surgeon showed that preserving the anatomy at the front of the prostate (the 'cave of Retzius') during robotic prostate cancer surgery dramatically improved post-operative urinary continence: 90% of patients were immediately totally continent and 97.5% had 'social' (0-1 pads/day) continence. Operating times were shorter and most patients towards the end of the series had a suprapubic catheter inserted following surgery. Cancer control and early potency appeared not to be affected.
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Why is it important?
This study shows that Retzius-sparing robotic prostate cancer surgery offers almost every patient freedom the prospect of incontinence-free surgery.
Perspectives
Patients need to have a greater awareness of the surgical approaches to prostatectomy and their results when considering treatment.
Professor Christopher Winter1914 Eden
The Royal Surrey County Hospital, Guildford.
Read the Original
This page is a summary of: Urinary continence four weeks following Retzius-sparing robotic radical prostatectomy: The UK experience, Journal of Clinical Urology, April 2017, SAGE Publications,
DOI: 10.1177/2051415817706635.
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