Format

Send to

Choose Destination
World J Urol. 2019 Dec 6. doi: 10.1007/s00345-019-03004-1. [Epub ahead of print]

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

Author information

1
Glickman Urology and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Q10, Cleveland, OH, 44195, USA.
2
Glickman Urology and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Q10, Cleveland, OH, 44195, USA. kaoukj@ccf.org.

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.

KEYWORDS:

Perineal prostatectomy; Prostate cancer; Robotic; Single port

PMID:
31811370
DOI:
10.1007/s00345-019-03004-1

Supplemental Content

Full text links

Icon for Springer
Loading ...
Support Center