Technical Modifications for Salvage and Complex Radical Prostatectomy

  • Hariharan Palayapalayam GanapathiEmail author
  • Gabriel Ogaya-Pinies
  • Eduardo Hernandez
  • Rafael Coelho
  • Vipul R. Patel


Robotic radical prostatectomy is a procedure that has evolved considerably in the last 15 years as one of the main treatments for localized prostate cancer. Published literature currently describes in detail the procedure and outcomes. However, as widespread as it may be, we believe that certain technical modifications have greatly improved our technique, hence improving early and medium-term outcomes. After having performed close to 10,000 cases (single surgeon series—VP), our technique has evolved significantly, including several refinements to reduce patient morbidity and further improve the functional outcomes. In the present manuscript, we perform a detailed description of our surgical technique of Robotic-Assisted Laparoscopic Radical Prostatectomy and provide practical recommendations based on available reports and personal experience.


Robotic-assisted laparoscopic radical prostatectomy Salvage radical prostatectomy Nerve sparing Technical modifications 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Hariharan Palayapalayam Ganapathi
    • 1
    Email author
  • Gabriel Ogaya-Pinies
    • 1
  • Eduardo Hernandez
    • 1
  • Rafael Coelho
    • 2
    • 3
    • 4
  • Vipul R. Patel
    • 1
  1. 1.Department Center for Urologic Cancer, Global Robotics Institute at Florida Hospital Celebration HealthUniversity of Central Florida College of MedicineCelebrationUSA
  2. 2.Department of UrologyHospital Israelita Albert EinsteinSão PauloBrazil
  3. 3.Department of UrologyState of Sao Paulo Cancer Institute, University of Sao Paulo School of MedicineSão PauloBrazil
  4. 4.Department of UrologyGlobal Robotics Institute at Florida Hospital Celebration HealthCelebrationUSA

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