Scientific Programme
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09:00 - 12:00 ESU Course 4 - Retropubic radical prostatectomy ? tips, tricks and pitfalls
| Retropubic radical prostatectomy ? tips, tricks and pitfalls H. Van Poppel, Leuven (BE) |
| Surgical anatomy M. Wirth, Dresden (DE) |
| Step by step radical retropubic prostatectomy H. Van Poppel, Leuven (BE) |
| Tips, tricks and pitfalls M. Wirth, Dresden (DE) |
| Treatment of complications H. Van Poppel, Leuven (BE) |
Aims and objectives:
In many parts of Europe, open retropubic radical prostatectomy is still the gold standard for treating localised prostate cancer. Although laparoscopic, eventually robot assisted, radical prostatectomy is getting more popular in selected centres, the open surgical approach is still the most often performed operative procedure in many countries throughout Europe in the coming years. Localised prostate cancer is being more and more detected in its earlier stages and surgery offers undoubtedly the best local control. The urologist’s surgical skill must be outstanding and the urological community is responsible to guaranteeing optimal surgical quality through adequate training. The competition with external beam radiotherapy, brachytherapy and novel minimally invasive techniques like cryosurgery and HIFU, should encourage young urologists to optimally perform the surgical resection with the best possible tumour control and the least impact on continence and potency. This course aims to bring to the modern urologist the different technical steps of the classical ‘retropubic prostatectomy’ with an emphasis on the preservation of continence and potency and discusses the special tips and tricks that must enable every contemporary urologist to obtain good results with minimal complications. Also, the prevention and treatment of complications are discussed. This teaching course is a must for the elder resident and the younger urologist beginning his career but well trained urologists who are not treating many patients with localised prostate cancer will benefit. The participants will get inside the detailed surgical anatomy, the pre-operative measures and the intra-operative steps of a very systematic and safe operation. Also the experienced uro-oncological surgeon will enjoy the tricks and pitfalls and will learn how to solve intra- and postoperative complications.