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← Return to Retzius sparing surgery
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I am debating whether to have retzius or anterior hood technique. I am leaning toward retzius because of continence improvements. it appears more complicated, but continence appears to be a real issue for the standard anterior or extraperitoneal approaches.
Any comments on procedures used and continence results would be appreciated.
Replies to "I am debating whether to have retzius or anterior hood technique. I am leaning toward retzius..."
I honestly don’t know if I had either approach by Dr Samadi in 2019, but in describing his SMART technique to me he said that unlike most surgeons, “he comes over the top” which preserves continence. I am totally continent…but also totally impotent.
However my Gleason 4+3 Unfavorable had extensive perineural invasion in every single core so I told him to get the cancer out first and worry about potency second. Still here, NOT complaining…
It was never discussed before surgery, but my surgical report indicates "space of Retzius sparing" as one of the components of the surgery. I have had zero incontinence since the moment of catheter removal. Good luck with your decision and outcome of your treatment!
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Like mn281, I had mine done with the anterior hood technique in Rochester. I also had some minor incontinence, but that was over by 8 weeks. Results with the anterior hood technique vs true Retzuis-sparing (posterior) seem to be similar. The posterior approach is more difficult to perform, so make sure you find someone who’s done it a lot. Also, I don’t think it can be done extraperitoneally. Mine was done extraperitoneally with a single-port robot, and the recovery was quite easy.