Advances in Techniques in Radical Prostatectomy
Since its development in 1904, radical prostatectomy (RP) has remained a fundamental surgical option in the management of localised prostate cancer. Over time, continuous advancements in surgical techniques have improved oncological outcomes while reducing functional complications. This narrative re...
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| Format: | Article |
| Language: | English |
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MDPI AG
2025-07-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/61/7/1222 |
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| author | Hui Miin Lau Liang G. Qu Dixon T. S. Woon |
| author_facet | Hui Miin Lau Liang G. Qu Dixon T. S. Woon |
| author_sort | Hui Miin Lau |
| collection | DOAJ |
| description | Since its development in 1904, radical prostatectomy (RP) has remained a fundamental surgical option in the management of localised prostate cancer. Over time, continuous advancements in surgical techniques have improved oncological outcomes while reducing functional complications. This narrative review explores the evolution of RP, depicting its progression from the traditional open approach to minimally invasive laparoscopic and robotic-assisted techniques. Key developments in RP techniques, including nerve-sparing, bladder neck-sparing and Retzius-sparing techniques as well as enhanced perioperative management, have contributed to reduced postoperative complications, namely incontinence and erectile dysfunction. Additionally, technological innovations such as augmented reality, utilising indocyanine green for improved visualisation of prostatic boundaries and illuminare-1 to easily identify nerves intraoperatively, artificial intelligence, and novel molecular imaging technologies such as PSMA PETs for improved margin assessment are shaping the future of RPs. Despite these advancements, challenges persist, including a steep learning curve associated with newer techniques, disparities in access due to cost considerations, and a lack of standardised outcome measures across different surgical approaches. This review provides insight into current trends, ongoing challenges, and future directions that may further refine surgical precision, enhance patient safety, and improve long-term treatment success in prostate cancer management. |
| format | Article |
| id | doaj-art-da45aa631398454fb91cef26185df42b |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-da45aa631398454fb91cef26185df42b2025-08-20T03:58:31ZengMDPI AGMedicina1010-660X1648-91442025-07-01617122210.3390/medicina61071222Advances in Techniques in Radical ProstatectomyHui Miin Lau0Liang G. Qu1Dixon T. S. Woon2Department of Urology, Peninsula Health, Frankston, VIC 3199, AustraliaDepartment of Urology, Peninsula Health, Frankston, VIC 3199, AustraliaDepartment of Surgery, University of Melbourne, Melbourne, VIC 3010, AustraliaSince its development in 1904, radical prostatectomy (RP) has remained a fundamental surgical option in the management of localised prostate cancer. Over time, continuous advancements in surgical techniques have improved oncological outcomes while reducing functional complications. This narrative review explores the evolution of RP, depicting its progression from the traditional open approach to minimally invasive laparoscopic and robotic-assisted techniques. Key developments in RP techniques, including nerve-sparing, bladder neck-sparing and Retzius-sparing techniques as well as enhanced perioperative management, have contributed to reduced postoperative complications, namely incontinence and erectile dysfunction. Additionally, technological innovations such as augmented reality, utilising indocyanine green for improved visualisation of prostatic boundaries and illuminare-1 to easily identify nerves intraoperatively, artificial intelligence, and novel molecular imaging technologies such as PSMA PETs for improved margin assessment are shaping the future of RPs. Despite these advancements, challenges persist, including a steep learning curve associated with newer techniques, disparities in access due to cost considerations, and a lack of standardised outcome measures across different surgical approaches. This review provides insight into current trends, ongoing challenges, and future directions that may further refine surgical precision, enhance patient safety, and improve long-term treatment success in prostate cancer management.https://www.mdpi.com/1648-9144/61/7/1222prostate cancerradical prostatectomy |
| spellingShingle | Hui Miin Lau Liang G. Qu Dixon T. S. Woon Advances in Techniques in Radical Prostatectomy Medicina prostate cancer radical prostatectomy |
| title | Advances in Techniques in Radical Prostatectomy |
| title_full | Advances in Techniques in Radical Prostatectomy |
| title_fullStr | Advances in Techniques in Radical Prostatectomy |
| title_full_unstemmed | Advances in Techniques in Radical Prostatectomy |
| title_short | Advances in Techniques in Radical Prostatectomy |
| title_sort | advances in techniques in radical prostatectomy |
| topic | prostate cancer radical prostatectomy |
| url | https://www.mdpi.com/1648-9144/61/7/1222 |
| work_keys_str_mv | AT huimiinlau advancesintechniquesinradicalprostatectomy AT lianggqu advancesintechniquesinradicalprostatectomy AT dixontswoon advancesintechniquesinradicalprostatectomy |