043IC - Comprehensive Anatomic Robotic Assisted Radical Prostatectomy: Pelvic Fascia Sparing and Evolving Techniques

043IC - Comprehensive Anatomic Robotic Assisted Radical Prostatectomy: Pelvic Fascia Sparing and Evolving Techniques

Sunday, May 17, 2026 10:00 AM to 12:00 PM · 2 hr. (America/New_York)
151A
Instructional Course
Oncology: Prostate

Information

Course Description: Robotic-assisted radical prostatectomy continues to evolve with the introduction and refinement of techniques aimed at improving functional and oncologic outcomes. This course provides a comprehensive overview of modern anatomic prostatectomy approaches, including pelvic fascia-sparing, Retzius-sparing, anterior pelvic fascia-sparing ("hood" technique), posterior nerve-sparing strategies, and single-port robotics. Participants will gain evidence-based insights into the surgical principles and technical execution of these methods.

Attendees will learn the anatomical rationale and technical nuances that underline these innovative approaches, supported by outcome data on urinary continence, sexual function, cancer control, and cost-effectiveness. The course will include didactic lectures from high-volume expert surgeons, detailed video demonstrations, and case-based discussions.

The course aims to empower practicing urologists, residents, and fellows with actionable knowledge and practical tips that can be applied across surgical settings. Emphasis will be placed on technique selection, troubleshooting challenging anatomy, managing complications, and balancing functional outcomes with oncologic safety.

Course Format
Traditional didactic lecture format supplemented with video demonstrations and case-based audience interaction. The two-hour course will consist of five 20-minute presentations delivered by expert faculty, followed by interactive Q&A. Each talk will focus on one of five key modern approaches:

Retzius-sparing prostatectomy
Anterior pelvic fascia-sparing "hood" technique
Posterior nerve-sparing and high anterior release
Single-port robotic prostatectomy
Pearls, pitfalls, and patient selection for functional and oncologic optimization

Attendees will leave with practical knowledge and technical confidence to implement or refine these techniques within their practice.

What is the problem we want to fix?
Urologists continue to seek better ways to preserve urinary and sexual function while achieving excellent oncologic control in radical prostatectomy. Adoption of advanced nerve-sparing and continence-preserving techniques remains inconsistent due to variability in training, a steep learning curve, and concerns regarding oncologic efficacy. As novel approaches like anterior pelvic fascia-sparing, posterior nerve-sparing, and single-port robotics emerge, there is a need for expert-led, evidence-based guidance on technique, outcomes, and case selection.

What is the reason for these gaps?
The field is advancing rapidly, yet formal training in newer techniques remains limited. Misconceptions persist regarding oncologic risk, and early concerns about positive surgical margins have contributed to hesitancy. Furthermore, comparative studies often vary in design or follow-up, making interpretation challenging. Our course addresses these educational needs by providing up-to-date literature review, technical walkthroughs, and expert opinion to increase surgeon competence, confidence, and outcome optimization.

Learning Objective 1: Identify pelvic anatomy relevant to modern prostatectomy techniques

Learning Objective 2: Describe key steps and technical considerations for Retzius-sparing and anterior pelvic fascia-sparing (hood) approaches

Learning Objective 3: Review evidence and outcomes supporting newer approaches such as posterior nerve-sparing and single-port robotic prostatectomy

Learning Objective 4: Identify appropriate patients for each surgical technique based on anatomy and disease characteristics

Learning Objective 5: Gain tips and troubleshooting strategies for safely expanding surgical capabilities while maintaining cancer control and minimizing complications
Of Interest To
FellowsResidents
Format
On Demand

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