Introduction: Retzius-Sparing Robotic Assisted Radical Prostatectomy (RS-RARP) is a novel surgical approach to radical prostatectomy. Its pioneers have suggested an improved recovery of urinary continence, while maintaining adequate cancer control. Aim of this systematic review is to explore available data on RS-RALP and compare functional, oncologic and perioperative results of RS-RARP compared to anterior RARP. Evidence acquisition: A search following PRISMA guidelines was performed including the combination of the following words: retzius AND sparing AND radical AND prostatectomy. 93 articles were identified and 13 were included in the systematic review, including 3 randomized controlled trials (RCT), 4 prospective studies and 6 retrospective studies. Evidence synthesis: All available randomized trials confirmed an improved immediate continence for RS-RARP, with rates ranging 51-71%, compared to 21-48% for anterior RARP. However, this advantage was progressively lost with no significant difference found after 6 months. Moreover, a prospective study found no discrepancy in terms of quality of life across the two techniques. Erectile function was difficult to compare, as patients had different baseline erectile function across studies and rate of neurovascular preservation was not comparable. Surgical approach remains controversial regarding positive margin rate, although related to the surgeon's experience and clinical stage. Biochemical recurrence-free survival appears similar between the two approaches. Conclusions: RS-RARP improves early urinary continence recovery compared to anterior RARP, with this advantage being lost after 3 to 6 months. Erectile function and quality of life were however comparable between the two techniques. The results concerning the rate of positive margins remained controversial. Future studies with longer follow-up are needed to better assess oncologic outcomes.

Systematic review comparing Anterior vs Retzius-sparing robotic assisted radical prostatectomy. can the approach really make a difference? / Albisinni, Simone; Dasnoy, Cyrielle; Diamand, Romain; Mjaess, Georges; Aoun, Fouad; Esperto, Francesco; Porpiglia, Francesco; Fiori, Cristian; Roumeguère, Thierry; DE Nunzio, Cosimo. - In: MINERVA UROLOGY AND NEPHROLOGY. - ISSN 2724-6442. - 72:6(2021), pp. 1-26. [10.23736/S2724-6051.21.04623-1]

Systematic review comparing Anterior vs Retzius-sparing robotic assisted radical prostatectomy. can the approach really make a difference?

Albisinni, Simone;Esperto, Francesco;DE Nunzio, Cosimo
2021

Abstract

Introduction: Retzius-Sparing Robotic Assisted Radical Prostatectomy (RS-RARP) is a novel surgical approach to radical prostatectomy. Its pioneers have suggested an improved recovery of urinary continence, while maintaining adequate cancer control. Aim of this systematic review is to explore available data on RS-RALP and compare functional, oncologic and perioperative results of RS-RARP compared to anterior RARP. Evidence acquisition: A search following PRISMA guidelines was performed including the combination of the following words: retzius AND sparing AND radical AND prostatectomy. 93 articles were identified and 13 were included in the systematic review, including 3 randomized controlled trials (RCT), 4 prospective studies and 6 retrospective studies. Evidence synthesis: All available randomized trials confirmed an improved immediate continence for RS-RARP, with rates ranging 51-71%, compared to 21-48% for anterior RARP. However, this advantage was progressively lost with no significant difference found after 6 months. Moreover, a prospective study found no discrepancy in terms of quality of life across the two techniques. Erectile function was difficult to compare, as patients had different baseline erectile function across studies and rate of neurovascular preservation was not comparable. Surgical approach remains controversial regarding positive margin rate, although related to the surgeon's experience and clinical stage. Biochemical recurrence-free survival appears similar between the two approaches. Conclusions: RS-RARP improves early urinary continence recovery compared to anterior RARP, with this advantage being lost after 3 to 6 months. Erectile function and quality of life were however comparable between the two techniques. The results concerning the rate of positive margins remained controversial. Future studies with longer follow-up are needed to better assess oncologic outcomes.
2021
retzius-sparing; robotic; radical prostatectomy
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Systematic review comparing Anterior vs Retzius-sparing robotic assisted radical prostatectomy. can the approach really make a difference? / Albisinni, Simone; Dasnoy, Cyrielle; Diamand, Romain; Mjaess, Georges; Aoun, Fouad; Esperto, Francesco; Porpiglia, Francesco; Fiori, Cristian; Roumeguère, Thierry; DE Nunzio, Cosimo. - In: MINERVA UROLOGY AND NEPHROLOGY. - ISSN 2724-6442. - 72:6(2021), pp. 1-26. [10.23736/S2724-6051.21.04623-1]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1591431
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