Perineoscopic radical prostatectomy: A novel surgical technique for the treatment of prostate cancer

Özet

Objective: The objective of this article is to discuss the technical details of perineoscopic radical prostatectomy (perineoscopic-RP), which we performed for the first time as a surgical treatment for prostate cancer(PCa), and to present the outcomes of three patients who underwent this procedure.Material and methods: Using a robotic scope as an optical system, we performed perineoscopic-RP in 3patients in March 2018. Technical details of the procedure have been explained step-by-step in this article.Preoperative, perioperative, and postoperative data of all the patients was analyzed.Results: Perineoscopic-RP was completed successfully without the need to convert to other approachesand/or techniques in all three patients. The patients were in a low-risk group for PCa. The mean time thatelapsed to reach the prostate apex was 50±3.6 minutes, including the time required to install the optic andretractor system. The mean total operative time was 144.3±8.4 minutes. No intraoperative or postoperativecomplications were observed. Surgical margins were negative in all patients. Incontinence was observed in2 patients after the removal of the Foley catheter. All patients achieved complete continence in the 3rd monthduring the follow-up.Conclusion: This technique, of which we presented the initial results in this article, can be successfully performed as a surgical intervention method for PCa. Prospective and comparative studies with larger patientseries are required to place this method in routine practice.