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Radical Prostatectomy Through the Posterior Technique

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Abstract

The Retzius-sparing approach for Robot-assisted laparoscopic radical prostatectomy (RARP) was born in 2010 at Niguarda Hospital in Milan from an original idea of Aldo Bocciardi. Since then, more than 1200 cases have been operated at Niguarda, and several hundreds in many centers throughout the world.

The technique has been fully standardized and described for all stages and situations of prostate cancer with surgical indication; obviously, the larger is the anatomical damage, the worse will be the functional results.

Sparing all the Retzius space structures, this approach allows an earlier and improved continence recovery, without compromising the oncological outcomes.

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Abbreviations

AP:

Prostatic apex

B:

Bladder

BN:

Bladder neck

C:

Catheter

G:

Graft

ML:

Median lobe

NVB:

Neurovascular bundles

P:

Prostate

SP:

Santorini plexus

SPT:

Sovrapubic tube

SV:

Seminal vesicles

U:

Urethra

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Author information

Authors and Affiliations

  1. Urology Unit, Niguarda Hospital, Piazza Ospedale Maggiore, 3, 20162, Milan, Italy

    Antonio Galfano, Silvia Secco, Daniele Panarello, Dario Di Trapani, Elena Strada, Giovanni Petralia & Aldo Massimo Bocciardi

Authors
  1. Antonio Galfano
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  2. Silvia Secco
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  3. Daniele Panarello
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  4. Dario Di Trapani
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  5. Elena Strada
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  6. Giovanni Petralia
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  7. Aldo Massimo Bocciardi
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Corresponding author

Correspondence to Antonio Galfano .

Editor information

Editors and Affiliations

  1. Department of Urology, Kantonsspital Winterthur, Winterthur, Switzerland

    Hubert John

  2. Department of Urology, Karolinska Institutet, Stockholm, Sweden

    Peter Wiklund

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Galfano, A. et al. (2018). Radical Prostatectomy Through the Posterior Technique. In: John, H., Wiklund, P. (eds) Robotic Urology. Springer, Cham. https://doi.org/10.1007/978-3-319-65864-3_35

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  • DOI: https://doi.org/10.1007/978-3-319-65864-3_35

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65863-6

  • Online ISBN: 978-3-319-65864-3

  • eBook Packages: MedicineMedicine (R0)

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