New Evolution of Robotic Radical Prostatectomy: A Single Center Experience with PERUSIA Technique

Radical prostatectomy (RP) is the standard surgical treatment of organ-confined prostate cancer in patients with a life expectancy at least 10 years. In recent prospective study, we described PERUSIA (Posterior, Extraperitoneal, Robotic, Under Santorini, Intrafascial, Anterograde) technique, which an extraperitoneal full nerve sparing robotic RP, showing its feasibility and safety. The aim this retrospective study was to evaluate peri-operative, oncologic, functional outcomes technique. We retrospectively analyzed data 454 robotic-assisted radical prostatectomies (RARP) performed using technique from January 2012 October 2019. evaluated perioperative (operative time, estimated blood loss, catheterization complication rate, length stay), oncological (positive margins biochemical recurrence), terms urinary continence sexual potency. overall rate 16%, positive were 8.1%, recurrence occurred 8.6% median follow-up 47 months. Urinary achieved 69% cases day after removal catheter, 92% 3 months, 97% 12 months surgery. average potency 72% 82% respectively Our findings show that safe approach perform providing exciting outcomes.