Open retropubic radical prostatectomy

Ryan Pereira; Andre Joshi; Matthew Roberts; John Yaxley; Ian Vela

doi:10.21037/tau.2019.09.15

Open retropubic radical prostatectomy

Transl Androl Urol. 2020 Dec;9(6):3025-3035. doi: 10.21037/tau.2019.09.15.

Authors

Ryan Pereira^{1

2}, Andre Joshi^{1

3}, Matthew Roberts^{1

2

4}, John Yaxley^{2

5}, Ian Vela^{1

2

3

6}

Affiliations

¹ Department of Urology, Princess Alexandra Hospital, Brisbane, Australia.
² Faculty of Medicine, The University of Queensland, Brisbane, Australia.
³ Queensland University of Technology, Australian Prostate Cancer Research Centre, Brisbane, Queensland, Australia.
⁴ Nepean Urology Research Group, Kingswood, Australia.
⁵ Department of Urology, Royal Brisbane and Women's Hospital, Brisbane, Australia.
⁶ Translational Research Institute, Brisbane, Australia.

Abstract

Radical prostatectomy (RP) is a common treatment choice for localized prostate cancer. While there is increasing utilisation of robotic assisted RP in some centres, open RP (ORP) remains well established and commonly performed in many parts of the world. The goals of modern ORP are to remove the prostate en-bloc with negative surgical margins, while minimising blood loss and preserving urinary continence and erectile function. We present a technical review of ORP incorporating contemporary techniques for control of the deep venous complex, additional haemostatic measures, nerve-sparing and vesicourethral reconstruction.

Keywords: Prostate cancer; prostatectomy, retropubic; radical prostatectomy (RP); surgery.

Publication types

Review