Retzius-sparing robot-assisted laparoscopic radical prostatectomy

K. D. Chang, C. K. Oh, K. H. Rha

Research output: Chapter in Book/Report/Conference proceedingChapter


The Bocciardi approach for RALP passes through the Douglas space, following a completely intrafascial plane without any dissection of the anterior compartment, which contains neurovascular bundles, Aphrodite’s veil, endopelvic fascia, the Santorini plexus, pubourethral ligaments, and all of the structures throught to play a role in maintenance of continence and potency. In the era of Robot assisted laparoscopic prostatectomy (RALP) including various techniques of anterior suspension and posterior reconstruction. Most of these techniques aim to restore the normal anatomy so that functional outcomes can be optimized. Nearly all published techniques to date have involved dropping the bladder and entering the Retzius space at some point during RALP. Galfano et al. reported they performed a novel Retzius-sparing RALP in three out of five patients in 2010. Since introducing this technique, we have applied this technique on prostatectomy more than 800 cases. Our Retzius-sparing RALP technique is similar to that described by Galfano et al. but there are some modified technique compare to Galfano’s.

Original languageEnglish
Title of host publicationEndourology Progress
Subtitle of host publicationTechnique, Technology and training
PublisherSpringer Singapore
Number of pages6
ISBN (Electronic)9789811334658
ISBN (Print)9789811334641
Publication statusPublished - 2019 Jan 1

Bibliographical note

Publisher Copyright:
© Springer Nature Singapore Pte Ltd. 2019.

All Science Journal Classification (ASJC) codes

  • Medicine(all)


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