Spots Global Cancer Trial Database for Impact of Robot-assisted Radical Prostatectomy Technique on Short-term Continence Recovery

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Trial Identification

Brief Title: Impact of Robot-assisted Radical Prostatectomy Technique on Short-term Continence Recovery

Official Title: The Impact of Retzius-sparing Approach for Robot-assisted Laparoscopic Radical Prostatectomy on Short-term Continence Recovery: Randomized Controlled Trial

Study ID: NCT02352103

Conditions

Urinary Incontinence

Interventions

Retzius sparing radical prostatectomy

Vattikuti Urology Institute radical prostatectomy

da Vinci Surgical System

Study Description

Brief Summary: To assess and compare the short-term post-operative continence recovery rate in two cohorts of men undergoing Robot Assisted Radical Prostatectomy (RARP), each randomized to undergo RARP with Vattikuti Institute technique or Retzius sparing technique.

Detailed Description: Traditionally, RARP is performed using a trans-peritoneal technique that pass anteriorly to the bladder. This technique necessitates the dissection and/or manipulation of many structures, which might compromise post-operative urinary continence recovery. These structures include the pubo-prostatic ligament, Santorini plexus, neurovascular bundle, and veil of Aphrodite. Recently, a "Retzius-sparing" technique to perform RARP has beed described. This approach passes posteriorly to the bladder, through the space of Douglas, which should minimize the damaged to the aforementioned structure. Theoretically, the latter technique should improve post-operative urinary continence recovery. However, a randomized comparison between the "traditional" RARP and "Retzius-sparing" RARP is still lacking.