Retzius-Sparing Prostatectomy

The Retzius-Sparing approach developed by Professors Bocciardi and Galfano in Milan has improved patient outcomes with around 90% of men continent within 1 month of surgery.

A/Prof Gianduzzo has been doing this procedure in Brisbane since 2018 and pioneered its development in Australia in collaboration with his colleague Dr Philip Dundee from Melbourne. Both have been impressed at the improvement in continence outcomes compared to the standard technique. Reztius-sparing radical prostatectomy was developed by Prof Aldo Bocciardi at the ASST Grande Ospedale Metrapolitano Niguarda in Milan, Italy. A/Prof Gianduzzo has undertaken sabbaticals with Prof Bocciardi in Milan and also Prof Christopher Eden in London to learn and develop this technique. A/Prof Gianduzzo also hosted a retzius-sparing robotic radical prostatectomy workshop at the Wesley Hospital, in which Prof Eden and also Prof Koon Rha, Yonsei University, South Korea attended as expert international faculty.

Not all patients are necessarily suitable but it can valuable for those who are.

This video is a beautiful demonstration of this technique by my mentor Prof Christopher Eden, the UK's leading prostate cancer surgeon.

Video Details

This is a complete case of a Retzius-sparing interfacial nerve-preserving robotic radical prostatectomy patient: a 55-year-old potent man

  • PSA: 4.3
  • Cancer: Gleason 3+4 T2aN0M0 adenocarcinoma of the prostate
  • Procedure: After the anastomosis is complete a suprapubic catheter is inserted and the urethral catheter is removed. The topical haemostatic powder Arista is applied over both neurovascular bundles at the end of the case. There is no audio.
  • Royal Australasian College of Surgeons
  • Australian and New Zealand Urogenital and Prostate
  • da Vinci Surgery