@ireland1964
Totally agree it must begin at bladder neck. I think the non cutting of the Puboprostatic ligament is significant to the reattachment of the urethra to the bladder neck and the remarkable quicker continence success with Retzius sparing. It just seems that knowing that now, I feel having learned it through these studies does not change the inability of a regular RALP having cut the ligament to protect the bladder neck. Since incontinence is one of the major concerns of patients, I would still want the best odds which are extremely high for fairly immediate continence with the Retzius sparing then possibly months and months up to a year for regular RALP to catch up without all the therapy, pads, kegels. Good luck but don’t rule out finding a surgeon that does it. I know Colleen published several studies on the Retzius sparing success with also quicker surgery recovery and ed recovery. I think she mentioned MAYO did it, which I think is close to you. It is possible their could be other factors that make it more likely to be successful, like a smaller prostate or not being obese. I have no idea about that.