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.
Robotic-assisted Minimally Invasive Surgery for Gynecologic and Urologic Oncology: An Evidence-Based AnalysisMedical Advisory Secretariat. Ont Health Technol Assess Ser 10 (27), 1-118. PMID 23074405.Robotic use for gynecologic oncology compared to:LAPAROTOMY: benefits of robotic surgery in terms of shorter length of hospitalization and less blood loss. These results …
Radical Perineal Prostatectomy - The Contemporary Resurgence of a Genuinely Minimally Invasive Procedure: Procedure Outline. Comparison of the Advantages, Disadvantages, and Outcomes of Different Surgical Techniques of Treating Organ-Confined Prostate Cancer (PCa). A Literature Review With Special Focus on Perineal ProstatectomyS Wroński. Cent European J Urol 65 (4), 188-94. PMID 24578960.RPP proves to be a very efficacious, cost-effective treatment option for localized PCa. The outcomes of RPP, as defined by continence, potency, and complication rate, are …
Critical Surgical Techniques for Radical Perineal ProstatectomyA Melman et al. J Urol 171 (2 Pt 1), 786-90. PMID 14713812.With careful preoperative evaluation, selected patients should benefit from radical perineal prostatectomy for the management of localized prostate cancer. Familiarity wi …
The Craft of Urologic Surgery: Modern Radical Perineal ProstatectomyJM Holzbeierlein et al. Urol Clin North Am 31 (3), 629-41, xi-xii. PMID 15313071. - ReviewRadical perineal prostatectomy (RPP) is the original approach used by urologists for removing the entire prostate for cancer treatment. From its original description appr …
Costs of Radical Prostatectomy for Prostate Cancer: A Systematic ReviewC Bolenz et al. Eur Urol 65 (2), 316-24. PMID 22981673. - ReviewFew studies compared direct costs of different approaches to RP. The use of new technology, particularly RALP, results in added costs for the procedure. Cost effectivenes …