Robot-Assisted Radical Prostatectomy

  • Bernardo Rocco
  • Rafael Ferreira Coelho
  • Ahmed Eissa
  • Maria Chiara Sighinolfi
  • Ahmed Elsherbiny
  • Ahmed Zoeir
  • Giovanni Pellacani
  • Vipul R. Patel


In the field of oncologic urologic surgery, robot-assisted radical prostatectomy (RARP) represents the main application of the robotic approach. RARP is currently the leading urologic use of the da Vinci system, and more than 75% of the radical prostatectomies performed in North America were carried out by robot-assisted surgery. Indications for RARP are the same with those for radical retropubic prostatectomy (RRP), and RARP has also been described as a salvage surgical treatment after radiotherapy (RT), brachytherapy, and high-intensity focused ultrasound. Under an oncological point of view, RARP offers at least the same results of RRP also in higher-risk patients. Extended lymph node dissection yielding a reasonably high number of lymph nodes is feasible during RARP. The mean complication rate of RARP is 9% (range, 3–26%). Twelve-month urinary incontinence rates after RARP range from 4% to 31%, with significant advantage in favor of RARP in comparison with RRP and laparoscopic radical prostatectomy. RARP is associated with an incidence of 12- and 24-month erectile dysfunction ranging from 10% to 46% and from 6% to 37%, respectively. A significant advantage in favor of RARP in comparison with RRP in terms of 12 months’ potency rates has been observed.

This chapter presents the technique for RARP described by Patel, which introduces some differences from the standard laparoscopic and robotic technique described previously.


Erectile dysfunction Radical prostatectomy Bladder neck Pelvic lymph node dissection Radical retropubic prostatectomy Continence outcomes Potency outcomes Salvage RARP Oncological outcomes Radical prostatectomy complications 


  1. 1.
    Babbar P, Hemal AK. Robot-assisted urologic surgery in 2010 - Advancements and future outlook. Urol Ann. 2011;3(1):1–7.PubMedPubMedCentralCrossRefGoogle Scholar
  2. 2.
    Piechaud P. State of the art: urologic surgery. J Visc Surg. 2011;148(5. Suppl):e27–9.PubMedCrossRefPubMedCentralGoogle Scholar
  3. 3.
    Patel VR, Coelho RF, Chauhan S, Orvieto MA, Palmer KJ, Rocco B, et al. Continence, potency and oncological outcomes after robotic-assisted radical prostatectomy: early trifecta results of a high-volume surgeon. BJU Int. 2010;106(5):696–702.PubMedCrossRefPubMedCentralGoogle Scholar
  4. 4.
    Binder J, Kramer W. Robotically-assisted laparoscopic radical prostatectomy. BJU Int. 2001;87(4):408–10.PubMedCrossRefPubMedCentralGoogle Scholar
  5. 5.
    Wagner C, Srougi V, Sanchez-Salas R. Getting ready for the first robotic prostatectomy, from basics to real practice. Curr Opin Urol. 2017;27(4):323–9.PubMedCrossRefPubMedCentralGoogle Scholar
  6. 6.
    Sanda MG, Cadeddu JA, Kirkby E, Chen RC, Crispino T, Fontanarosa J, et al. Clinically localized prostate cancer: AUA/ASTRO/SUO guideline. Part II: recommended approaches and details of specific care options. J Urol. 2018;199(4):990–7.PubMedCrossRefPubMedCentralGoogle Scholar
  7. 7.
    Mottet N, Bellmunt J, Bolla M, Briers E, Cumberbatch MG, De Santis M, et al. EAU-ESTRO-SIOG guidelines on prostate cancer. Part 1: screening, diagnosis, and local treatment with curative intent. Eur Urol. 2017;71(4):618–29.CrossRefPubMedGoogle Scholar
  8. 8.
    Patel VR, Shah KK, Thaly RK, Lavery H. Robotic-assisted laparoscopic radical prostatectomy: the Ohio State University technique. J Robot Surg. 2007;1(1):51–9.PubMedPubMedCentralCrossRefGoogle Scholar
  9. 9.
    Guillonneau B, Vallancien G. Laparoscopic radical prostatectomy: the Montsouris technique. J Urol. 2000;163(6):1643–9.PubMedCrossRefPubMedCentralGoogle Scholar
  10. 10.
    Pasticier G, Rietbergen JB, Guillonneau B, Fromont G, Menon M, Vallancien G. Robotically assisted laparoscopic radical prostatectomy: feasibility study in men. Eur Urol. 2001;40(1):70–4.PubMedCrossRefPubMedCentralGoogle Scholar
  11. 11.
    Van Velthoven RF, Ahlering TE, Peltier A, Skarecky DW, Clayman RV. Technique for laparoscopic running urethrovesical anastomosis: the single knot method. Urology. 2003;61(4):699–702.PubMedCrossRefPubMedCentralGoogle Scholar
  12. 12.
    Patel VR, Coelho RF, Palmer KJ, Rocco B. Periurethral suspension stitch during robot-assisted laparoscopic radical prostatectomy: description of the technique and continence outcomes. Eur Urol. 2009;56(3):472–8.PubMedCrossRefPubMedCentralGoogle Scholar
  13. 13.
    Lin VC, Coughlin G, Savamedi S, Palmer KJ, Coelho RF, Patel VR. Modified transverse plication for bladder neck reconstruction during robotic-assisted laparoscopic prostatectomy. BJU Int. 2009;104(6):878–81.PubMedCrossRefPubMedCentralGoogle Scholar
  14. 14.
    Rocco F, Carmignani L, Acquati P, Gadda F, Dell’Orto P, Rocco B, et al. Restoration of posterior aspect of rhabdosphincter shortens continence time after radical retropubic prostatectomy. J Urol. 2006;175(6):2201–6.PubMedCrossRefPubMedCentralGoogle Scholar
  15. 15.
    Rocco B, Gregori A, Stener S, Santoro L, Bozzola A, Galli S, et al. Posterior reconstruction of the rhabdosphincter allows a rapid recovery of continence after transperitoneal videolaparoscopic radical prostatectomy. Eur Urol. 2007;51(4):996–1003.PubMedCrossRefPubMedCentralGoogle Scholar
  16. 16.
    Coughlin G, Dangle PP, Patil NN, Palmer KJ, Woolard J, Jensen C, et al. Surgery illustrated--focus on details. Modified posterior reconstruction of the rhabdosphincter: application to robotic-assisted laparoscopic prostatectomy. BJU Int. 2008;102(10):1482–5.PubMedCrossRefPubMedCentralGoogle Scholar
  17. 17.
    Coelho RF, Chauhan S, Orvieto MA, Sivaraman A, Palmer KJ, Coughlin G, et al. Influence of modified posterior reconstruction of the rhabdosphincter on early recovery of continence and anastomotic leakage rates after robot-assisted radical prostatectomy. Eur Urol. 2011;59(1):72–80.PubMedCrossRefPubMedCentralGoogle Scholar
  18. 18.
    Walz J, Burnett AL, Costello AJ, Eastham JA, Graefen M, Guillonneau B, et al. A critical analysis of the current knowledge of surgical anatomy related to optimization of cancer control and preservation of continence and erection in candidates for radical prostatectomy. Eur Urol. 2010;57(2):179–92.PubMedCrossRefPubMedCentralGoogle Scholar
  19. 19.
    Grasso AA, Mistretta FA, Sandri M, Cozzi G, De Lorenzis E, Rosso M, et al. Posterior musculofascial reconstruction after radical prostatectomy: an updated systematic review and a meta-analysis. BJU Int. 2016;118(1):20–34.PubMedCrossRefPubMedCentralGoogle Scholar
  20. 20.
    Mattei A, Fuechsel FG, Bhatta Dhar N, Warncke SH, Thalmann GN, Krause T, et al. The template of the primary lymphatic landing sites of the prostate should be revisited: results of a multimodality mapping study. Eur Urol. 2008;53(1):118–25.PubMedCrossRefPubMedCentralGoogle Scholar
  21. 21.
    Fossati N, Willemse PM, Van den Broeck T, van den Bergh RCN, Yuan CY, Briers E, et al. The benefits and harms of different extents of lymph node dissection during radical prostatectomy for prostate cancer: a systematic review. Eur Urol. 2017;72(1):84–109.PubMedCrossRefPubMedCentralGoogle Scholar
  22. 22.
    Montorsi F, Wilson TG, Rosen RC, Ahlering TE, Artibani W, Carroll PR, et al. Best practices in robot-assisted radical prostatectomy: recommendations of the Pasadena Consensus Panel. Eur Urol. 2012;62(3):368–81.PubMedCrossRefPubMedCentralGoogle Scholar
  23. 23.
    Gandaglia G, De Lorenzis E, Novara G, Fossati N, De Groote R, Dovey Z, et al. Robot-assisted radical prostatectomy and extended pelvic lymph node dissection in patients with locally-advanced prostate cancer. Eur Urol. 2017;71(2):249–56.PubMedCrossRefPubMedCentralGoogle Scholar
  24. 24.
    Menon M, Shrivastava A, Bhandari M, Satyanarayana R, Siva S, Agarwal PK. Vattikuti Institute prostatectomy: technical modifications in 2009. Eur Urol. 2009;56(1):89–96.PubMedCrossRefPubMedCentralGoogle Scholar
  25. 25.
    Novara G, Ficarra V, Mocellin S, Ahlering TE, Carroll PR, Graefen M, et al. Systematic review and meta-analysis of studies reporting oncologic outcome after robot-assisted radical prostatectomy. Eur Urol. 2012;62(3):382–404.PubMedCrossRefPubMedCentralGoogle Scholar
  26. 26.
    Chung JS, Kim WT, Ham WS, Yu HS, Chae Y, Chung SH, et al. Comparison of oncological results, functional outcomes, and complications for transperitoneal versus extraperitoneal robot-assisted radical prostatectomy: a single surgeon’s experience. J Endourol. 2011;25(5):787–92.PubMedCrossRefPubMedCentralGoogle Scholar
  27. 27.
    Coelho RF, Chauhan S, Guglielmetti GB, Orvieto MA, Sivaraman A, Palmer KJ, et al. Does the presence of median lobe affect outcomes of robot-assisted laparoscopic radical prostatectomy? J Endourol. 2012;26(3):264–70.PubMedCrossRefPubMedCentralGoogle Scholar
  28. 28.
    Tugcu V, Atar A, Sahin S, Kargi T, Gokhan Seker K, IlkerComez Y, et al. Robot-assisted radical prostatectomy after previous prostate surgery. JSLS. 2015;19(4):e2015.00080.PubMedPubMedCentralCrossRefGoogle Scholar
  29. 29.
    Samavedi S, Abdul-Muhsin H, Pigilam S, Sivaraman A, Patel VR. Handling difficult anastomosis. Tips and tricks in obese patients and narrow pelvis. Indian J Urol. 2014;30(4):418–22.PubMedPubMedCentralCrossRefGoogle Scholar
  30. 30.
    Patel VR, Schatloff O, Chauhan S, Sivaraman A, Valero R, Coelho RF, et al. The role of the prostatic vasculature as a landmark for nerve sparing during robot-assisted radical prostatectomy. Eur Urol. 2012;61(3):571–6.PubMedCrossRefPubMedCentralGoogle Scholar
  31. 31.
    Schatloff O, Chauhan S, Sivaraman A, Kameh D, Palmer KJ, Patel VR. Anatomic grading of nerve sparing during robot-assisted radical prostatectomy. Eur Urol. 2012;61(4):796–802.PubMedCrossRefPubMedCentralGoogle Scholar
  32. 32.
    Moskovic DJ, Alphs H, Nelson CJ, Rabbani F, Eastham J, Touijer K, et al. Subjective characterization of nerve sparing predicts recovery of erectile function after radical prostatectomy: defining the utility of a nerve sparing grading system. J Sex Med. 2011;8(1):255–60.PubMedCrossRefPubMedCentralGoogle Scholar
  33. 33.
    Patel V, Sandri M, Grasso AAC, De Lorenzis E, Palmisano F, Albo G, et al. A Novel Tool for predicting extracapsular extension during graded partial nerve sparing in radical prostatectomy. BJU Int. 2018;121(3):373–82.PubMedCrossRefPubMedCentralGoogle Scholar
  34. 34.
    Roach M 3rd, Hanks G, Thames H Jr, Schellhammer P, Shipley WU, Sokol GH, et al. Defining biochemical failure following radiotherapy with or without hormonal therapy in men with clinically localized prostate cancer: recommendations of the RTOG-ASTRO Phoenix Consensus Conference. Int J Radiat Oncol Biol Phys. 2006;65(4):965–74.PubMedCrossRefGoogle Scholar
  35. 35.
    Hennequin C, Hannoun-Levi JM, Rozet F. Management of local relapse after prostate cancer radiotherapy: surgery or radiotherapy? Cancer Radiother. 2017;21(6–7):433–6.PubMedCrossRefPubMedCentralGoogle Scholar
  36. 36.
    Ogaya-Pinies G, Linares-Espinos E, Hernandez-Cardona E, Jenson C, Cathelineau X, Sanchez-Salas R, et al. Salvage robotic-assisted radical prostatectomy: oncologic and functional outcomes from two high-volume institutions. World J Urol. 2018. [Epub ahead of print].PubMedCrossRefGoogle Scholar
  37. 37.
    Chen BT, Wood DP Jr. Salvage prostatectomy in patients who have failed radiation therapy or cryotherapy as primary treatment for prostate cancer. Urology. 2003;62 Suppl 1:69–78.PubMedCrossRefPubMedCentralGoogle Scholar
  38. 38.
    Nguyen PL, D’Amico AV, Lee AK, Suh WW. Patient selection, cancer control, and complications after salvage local therapy for postradiation prostate-specific antigen failure: a systematic review of the literature. Cancer. 2007;110(7):1417–28.PubMedCrossRefGoogle Scholar
  39. 39.
    Freedland SJ, Humphreys EB, Mangold LA, Eisenberger M, Dorey FJ, Walsh PC, et al. Risk of prostate cancer-specific mortality following biochemical recurrence after radical prostatectomy. JAMA. 2005;294(4):433–9.PubMedCrossRefPubMedCentralGoogle Scholar
  40. 40.
    Zelefsky MJ, Ben-Porat L, Scher HI, Chan HM, Fearn PA, Fuks ZY, et al. Outcome predictors for the increasing PSA state after definitive external-beam radiotherapy for prostate cancer. J Clin Oncol. 2005;23(4):826–31.PubMedCrossRefPubMedCentralGoogle Scholar
  41. 41.
    Rogers E, Ohori M, Kassabian VS, Wheeler TM, Scardino PT. Salvage radical prostatectomy: outcome measured by serum prostate specific antigen levels. J Urol. 1995;153(1):104–10.PubMedCrossRefPubMedCentralGoogle Scholar
  42. 42.
    Chauhan S, Patel MB, Coelho R, Liss M, Rocco B, Sivaraman AK, et al. Preliminary analysis of the feasibility and safety of salvage robot-assisted radical prostatectomy after radiation failure: multi-institutional perioperative and short-term functional outcomes. J Endourol. 2011;25(6):1013–9.PubMedCrossRefPubMedCentralGoogle Scholar
  43. 43.
    Zargar H, Lamb AD, Rocco B, Porpiglia F, Liatsikos E, Davis J, et al. Salvage robotic prostatectomy for radio recurrent prostate cancer: technical challenges and outcome analysis. Minerva Urol Nefrol. 2017;69(1):26–37.PubMedPubMedCentralGoogle Scholar
  44. 44.
    Bonet X, Ogaya-Pinies G, Woodlief T, Hernandez-Cardona E, Ganapathi H, Rogers T, et al. Nerve-sparing in salvage robot-assisted prostatectomy: surgical technique, oncological and functional outcomes at a single high-volume institution. BJU Int. 2018;122(5):837–44.PubMedCrossRefPubMedCentralGoogle Scholar
  45. 45.
    Coelho RF, Rocco B, Patel MB, Orvieto MA, Chauhan S, Ficarra V, et al. Retropubic, laparoscopic, and robot-assisted radical prostatectomy: a critical review of outcomes reported by high-volume centers. J Endourol. 2010;24(12):2003–15.PubMedPubMedCentralCrossRefGoogle Scholar
  46. 46.
    Du Y, Long Q, Guan B, Mu L, Tian J, Jiang Y, et al. Robot-Assisted Radical Prostatectomy is more beneficial for prostate cancer patients: a system review and meta-analysis. Med Sci Monit. 2018;24:272–87.PubMedPubMedCentralCrossRefGoogle Scholar
  47. 47.
    Tang K, Jiang K, Chen H, Chen Z, Xu H, Ye Z. Robotic vs. Retropubic radical prostatectomy in prostate cancer: a systematic review and an meta-analysis update. Oncotarget. 2017;8(19):32237–57.PubMedPubMedCentralGoogle Scholar
  48. 48.
    D’Amico AV, Whittington R, Malkowicz SB, Schultz D, Blank K, Broderick GA, et al. Biochemical outcome after radical prostatectomy, external beam radiation therapy, or interstitial radiation therapy for clinically localized prostate cancer. JAMA. 1998;280(11):969–74.PubMedCrossRefPubMedCentralGoogle Scholar
  49. 49.
    Agarwal M, Agrawal MS, Mittal R, Sachan V. A randomized study of aspiration and sclerotherapy versus laparoscopic deroofing in management of symptomatic simple renal cysts. J Endourol. 2012;26(5):561–5.PubMedCrossRefPubMedCentralGoogle Scholar
  50. 50.
    Pucheril D, Campbell L, Bauer RM, Montorsi F, Sammon JD, Schlomm T. A Clinician’s guide to avoiding and managing common complications during and after robot-assisted laparoscopic radical prostatectomy. Eur Urol Focus. 2016;2(1):30–48.PubMedCrossRefPubMedCentralGoogle Scholar
  51. 51.
    Sukumar S, Rogers CG, Trinh QD, Sammon J, Sood A, Stricker H, et al. Oncological outcomes after robot-assisted radical prostatectomy: long-term follow-up in 4803 patients. BJU Int. 2014;114(6):824–31.PubMedCrossRefPubMedCentralGoogle Scholar
  52. 52.
    Diaz M, Peabody JO, Kapoor V, Sammon J, Rogers CG, Stricker H, et al. Oncologic outcomes at 10 years following robotic radical prostatectomy. Eur Urol. 2015;67(6):1168–76.PubMedCrossRefPubMedCentralGoogle Scholar
  53. 53.
    Wang L, Wang B, Ai Q, Zhang Y, Lv X, Li H, et al. Long-term cancer control outcomes of robot-assisted radical prostatectomy for prostate cancer treatment: a meta-analysis. Int Urol Nephrol. 2017;49(6):995–1005.PubMedCrossRefPubMedCentralGoogle Scholar
  54. 54.
    Zhang L, Wu B, Zha Z, Zhao H, Yuan J, Jiang Y, et al. Surgical margin status and its impact on prostate cancer prognosis after radical prostatectomy: a meta-analysis. World J Urol. 2018;36:1803.PubMedPubMedCentralCrossRefGoogle Scholar
  55. 55.
    Philippou Y, Harriss E, Davies L, Jubber I, Leslie T, Bell RW, et al. Prostatic capsular incision during radical prostatectomy has important oncological implications. A systematic review and meta-analysis. BJU Int. 2018. [Epub ahead of print].CrossRefGoogle Scholar
  56. 56.
    Srougi V, Bessa J Jr, Baghdadi M, Nunes-Silva I, da Costa JB, Garcia-Barreras S, et al. Surgical method influences specimen margins and biochemical recurrence during radical prostatectomy for high-risk prostate cancer: a systematic review and meta-analysis. World J Urol. 2017;35(10):1481–8.PubMedCrossRefPubMedCentralGoogle Scholar
  57. 57.
    Ficarra V, Novara G, Rosen RC, Artibani W, Carroll PR, Costello A, et al. Systematic review and meta-analysis of studies reporting urinary continence recovery after robot-assisted radical prostatectomy. Eur Urol. 2012;62(3):405–17.PubMedCrossRefPubMedCentralGoogle Scholar
  58. 58.
    Gajewski JB, Schurch B, Hamid R, Averbeck M, Sakakibara R, Agro EF, et al. An International Continence Society (ICS) report on the terminology for adult neurogenic lower urinary tract dysfunction (ANLUTD). Neurourol Urodyn. 2018;37(3):1152–61.PubMedCrossRefPubMedCentralGoogle Scholar
  59. 59.
    Kielb SJ, Clemens JQ. Comprehensive urodynamics evaluation of 146 men with incontinence after radical prostatectomy. Urology. 2005;66(2):392–6.PubMedCrossRefPubMedCentralGoogle Scholar
  60. 60.
    Haglind E, Carlsson S, Stranne J, Wallerstedt A, Wilderang U, Thorsteinsdottir T, et al. Urinary incontinence and erectile dysfunction after robotic versus open radical prostatectomy: a prospective, controlled, nonrandomised trial. Eur Urol. 2015;68(2):216–25.PubMedCrossRefPubMedCentralGoogle Scholar
  61. 61.
    Grabbert M, Buchner A, Butler-Ransohoff C, Kretschmer A, Stief CG, Bauer RM. Long-term functional outcome analysis in a large cohort of patients after radical prostatectomy. Neurourol Urodyn. 2018;37(7):2263–70.PubMedCrossRefPubMedCentralGoogle Scholar
  62. 62.
    Ilic D, Evans SM, Allan CA, Jung JH, Murphy D, Frydenberg M. Laparoscopic and robot-assisted vs open radical prostatectomy for the treatment of localized prostate cancer: a Cochrane systematic review. BJU Int. 2018;121(6):845–53.PubMedCrossRefPubMedCentralGoogle Scholar
  63. 63.
    Walsh PC, Donker PJ. Impotence following radical prostatectomy: insight into etiology and prevention. J Urol. 1982;128(3):492–7.PubMedCrossRefPubMedCentralGoogle Scholar
  64. 64.
    Costello AJ, Brooks M, Cole OJ. Anatomical studies of the neurovascular bundle and cavernosal nerves. BJU Int. 2004;94(7):1071–6.PubMedCrossRefPubMedCentralGoogle Scholar
  65. 65.
    Ficarra V, Novara G, Ahlering TE, Costello A, Eastham JA, Graefen M, et al. Systematic review and meta-analysis of studies reporting potency rates after robot-assisted radical prostatectomy. Eur Urol. 2012;62(3):418–30.PubMedCrossRefPubMedCentralGoogle Scholar
  66. 66.
    Pierorazio PM, Spencer BA, McCann TR, McKiernan JM, Benson MC. Preoperative risk stratification predicts likelihood of concurrent PSA-free survival, continence, and potency (the trifecta analysis) after radical retropubic prostatectomy. Urology. 2007;70(4):717–22.PubMedCrossRefPubMedCentralGoogle Scholar
  67. 67.
    Patel VR, Sivaraman A, Coelho RF, Chauhan S, Palmer KJ, Orvieto MA, et al. Pentafecta: a new concept for reporting outcomes of robot-assisted laparoscopic radical prostatectomy. Eur Urol. 2011;59(5):702–7.PubMedCrossRefPubMedCentralGoogle Scholar
  68. 68.
    Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA Surg. 2017;152(3):292–8.PubMedCrossRefPubMedCentralGoogle Scholar
  69. 69.
    Nazzani S, Preisser F, Mazzone E, Tian Z, Mistretta FA, Shariat SF, et al. In-hospital length of stay after major surgical oncological procedures. Eur J Surg Oncol. 2018;44(7):969–74.PubMedCrossRefPubMedCentralGoogle Scholar
  70. 70.
    Sugi M, Matsuda T, Yoshida T, Taniguchi H, Mishima T, Yanishi M, et al. Introduction of an enhanced recovery after surgery protocol for robot-assisted laparoscopic radical prostatectomy. Urol Int. 2017;99(2):194–200.PubMedCrossRefPubMedCentralGoogle Scholar
  71. 71.
    Preston MA, Breau RH, Lantz AG, Morash C, Gerridzen RG, Doucette S, et al. The association between nerve sparing and a positive surgical margin during radical prostatectomy. Urol Oncol. 2015;33(1):18.e1–6.CrossRefGoogle Scholar
  72. 72.
    Beyer B, Schlomm T, Tennstedt P, Boehm K, Adam M, Schiffmann J, et al. A feasible and time-efficient adaptation of NeuroSAFE for da Vinci robot-assisted radical prostatectomy. Eur Urol. 2014;66(1):138–44.PubMedCrossRefPubMedCentralGoogle Scholar
  73. 73.
    Bianchi G, Breda A, Puliatti S. Live surgery: Robot Assisted Radical Prostatectomy (RARP) on the PrECE nomogram with real time Cellvizio scan and ex vivo confocal control EAU Section of Uro-Technology (ESUT) in conjunction with the Italian Endourological Association (IEA); 24–26 May 2018; Modena, Italy. 2018.Google Scholar
  74. 74.
    Puliatti S, Sighinolfi MC, Rocco B, Patel V, Francesco P, Micali S, Eissa A, Torricelli P, Bianchi G. First live case of augmented reality robot-assisted radical prostatectomy from 3D magnetic resonance imaging reconstruction integrated with PRECE model (Predicting Extracapsular extension of prostate cancer). Urology Video J. 2019;1:100002.CrossRefGoogle Scholar
  75. 75.
    Puliatti S, Bertoni L, Pirola GM, Azzoni P, Bevilacqua L, Eissa A, Elsherbiny A, Sighinolfi MC, Chester J, Kaleci S, Rocco B, Micali S, Bagni I, Bonetti LR, Maiorana A, Malvehy J, Longo C, Montironi R, Bianchi G. Giovanni Pellacani, x vivo fluorescence confocal microscopy: the first application for real‐time pathological examination of prostatic tissue. BJU Int. 2019; Scholar
  76. 76.
    Ogaya-Pinies G, Palayapalam-Ganapathi H, Rogers T, Hernandez-Cardona E, Rocco B, Coelho RF, et al. Can dehydrated human amnion/chorion membrane accelerate the return to potency after a nerve-sparing robotic-assisted radical prostatectomy? Propensity score-matched analysis. J Robot Surg. 2018;12(2):235–43.PubMedCrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Bernardo Rocco
    • 1
  • Rafael Ferreira Coelho
    • 2
    • 3
  • Ahmed Eissa
    • 4
    • 5
  • Maria Chiara Sighinolfi
    • 1
  • Ahmed Elsherbiny
    • 4
    • 5
  • Ahmed Zoeir
    • 4
    • 5
  • Giovanni Pellacani
    • 5
    • 6
  • Vipul R. Patel
    • 7
    • 8
  1. 1.Department of UrologyOspedale Policlinico e Nuovo Ospedale Civile S. Agostino Estense Modena, University of Modena and Reggio EmiliaModenaItaly
  2. 2.Department of UrologyHospital Israelita Albert EinsteinSao PauloBrazil
  3. 3.Instituto do Câncer do Estado de São PauloSao PauloBrazil
  4. 4.Department of Urology, Faculty of MedicineTanta University HospitalTantaEgypt
  5. 5.Ospedale Policlinico e Nuovo Ospedale Civile S. Agostino Estense Modena, University of Modena and Reggio EmiliaModenaItaly
  6. 6.Department of DermatologyUniversity of Modena & Reggio EmiliaModenaItaly
  7. 7.Global Robotics Institute, Florida Hospital Celebration HealthCelebrationUSA
  8. 8.Department of UrologyUniversity of Central Florida School of MedicineOrlandoUSA

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