V07-05 HOW WE SURVIVED OUR FIRST 50 RETZIUS SPARING PROSTATECTOMIES: TIPS AND PITFALLS OF ROUNDING THE LEARNING CURVE

Abstract

You have accessJournal of UrologyCME1 May 2022V07-05 HOW WE SURVIVED OUR FIRST 50 RETZIUS SPARING PROSTATECTOMIES: TIPS AND PITFALLS OF ROUNDING THE LEARNING CURVE Ben Schurhamer, Daniel Lee, and Phil Mucksavage Ben SchurhamerBen Schurhamer More articles by this author , Daniel LeeDaniel Lee More articles by this author , and Phil MucksavagePhil Mucksavage More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002598.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Retzius sparing prostatectomy has grown in utilization since its publication in 2010 by Galfano et al. Preliminary reports suggest earlier return of urinary continence with equivalent erectile function. The surgery learning curve is steep and has been reported to require 30-40 operations to obtain mild proficiency. We attempted to identify easy modifications and tips to flatten the learning curve. METHODS: We illustrate surgical tips to include delayed seminal vesicle dissection, improved peritoneum incision, ureteral identification and bladder neck tagging. We found that delayed seminal vesicle dissection is an easy reproducible tool to allow for posterior dissection with no need for additional support sutures. RESULTS: This video safely shows posterior dissection of the seminal vesicles and vas deferens and improved bladder neck marking techniques. CONCLUSIONS: Our modifications have provided safe alternatives to continue to improve outcomes with retzius sparing prostatectomy. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e660 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ben Schurhamer More articles by this author Daniel Lee More articles by this author Phil Mucksavage More articles by this author Expand All Advertisement PDF DownloadLoading ...