Laparoscopic extraperitoneal intrafascial RP: Technique
Endopelvic fascia and dorsal venous complex are left intact, one of the hallmarks of this technique.
Surgical technique
Our technique of extraperitoneal laparoscopic radical prostatectomy has been described elsewhere (Issues in Urology 2006; 18:70-4). The steps are reiterated with modifications pertinent to the intrafascial dissection, similar to that described by Stolzenburg (Urology 2006; 67:17-21). After the administration of prophylactic cephalosporin antibiotic and general anesthetic, the patient is positioned supine and is prepped and draped in a standard fashion. A 20F latex Foley catheter is placed for drainage.
A 5-port extraperitoneal approach is used in a fan-shaped distribution. The camera and medial assistant ports are 10 mm; the other ports are 5 mm.
Enzalutamide granted approval in EU for nmHSPC
April 24th 2024The approval is supported by data from the phase 3 EMBARK trial, which demonstrated that enzalutamide with or without leuprolide prolonged metastasis-free survival compared with leuprolide alone in patients with high-risk biochemically recurrent nmHSPC.
Experts develop guide on online tools to reduce costs of urologic drugs
April 22nd 2024"At a time when patients are increasingly concerned about prescription drugs, this information will provide a useful starting point for making essential medications as affordable as possible," says Ruchika Talwar, MD.
