Retzius Sparing robotic radical Prostatectomy: A Breakthrough in Robotic Prostate Cancer Treatment

One of the latest advancements in prostate cancer treatment is the Retzius Sparing Prostatectomy (RSP), a cutting-edge technique designed to improve outcomes and reduce post-surgical complications. This minimally invasive approach, also referred to as prostate cancer robotic surgery, is especially valuable in preserving critical pelvic structures, making recovery smoother and quicker for patients.

Dr Dharmender Aggarwal, a leading urology cancer expert offering prostate cancer treatment in Chandigarh and Mohali, performs this advanced surgery using the Da Vinci robotic system to ensure high precision and better patient outcomes.

Understanding the Retzius Space

The Retzius space, or prevesical space, lies between the pubic bone and the urinary bladder. Traditional prostatectomy techniques often involve navigating through this area, increasing the risk of damage to nerves, vessels, and muscles critical to urinary and sexual function.

The Retzius sparing approach, as its name implies, avoids this space, which contributes to reduced complications, particularly related to urinary continence and erectile function.

How Retzius Sparing Differs from Traditional Prostatectomy

While conventional prostatectomy techniques require access through the Retzius space, the Retzius sparing prostatectomy avoids it entirely. This technique has revolutionized prostate cancer robotic surgery by improving patient comfort and accelerating functional recovery.

Patients undergoing traditional surgery often face issues like delayed continence recovery or compromised sexual health. In contrast, Dr Aggarwal’s Retzius sparing method minimizes trauma and delivers more favorable postoperative outcomes—especially for patients in Chandigarh and Mohali seeking the most advanced treatment options.

Preparing for the Procedure

Before undergoing this robotic-assisted operation, patients are carefully evaluated through:

1. PSA testing 
2. Blood and urine tests 
3. Medical fitness checks 
4. Pre-operative counseling and informed consent 

Fasting is required for at least 8 hours before surgery.

Step-by-Step: The Retzius Sparing Prostatectomy

Here’s how the procedure is performed:

1. An IV line is established for fluids and anesthesia. 
2. Vital signs are continuously monitored during surgery. 
3. Small incisions are made in the abdominal area. 
4. The Da Vinci robot is used by Dr Aggarwal from a console to guide robotic arms. 
5. The camera provides a 3D, magnified view of the internal structures. 
6. The surgeon carefully dissects the prostate gland, preserving nerves and vessels. 
7. The Retzius space is left untouched. 
8. A temporary urethral catheter is inserted. 
9. Instruments are withdrawn, and incisions are sutured. 
10. The patient is moved to recovery for post-anesthesia monitoring. 

Post-Operative Recovery & Care Plan

Patients who undergo this robotic prostate cancer treatment in Mohali or Chandigarh typically:

1. Spend a few hours in observation before being shifted to their room. 
2. Begin drinking fluids by the same evening. 
3. Are discharged within 24 hours in most cases. 
4. Resume normal activities within 3 weeks. 
5. Require simple wound care and short-term medication for pain. 

Advantages of Retzius Sparing Prostatectomy

Patients across Chandigarh and Mohali choosing this advanced form of prostate cancer robotic surgery can benefit from:

1. Shorter operation time with minimal invasiveness. 
2. Lower risk of urinary incontinence thanks to preserved pelvic structures. 
3. Faster return of urinary continence, sometimes within days. 
4. Reduced blood loss, minimizing the need for transfusions. 
5. Improved preservation of sexual function due to careful nerve-sparing. 
6. Minimal hospital stay and faster overall recovery. 

Disadvantages & Limitations to Consider

While the Retzius sparing technique offers several benefits, there are also challenges:

1. Requires advanced robotic surgical expertise. 
2. Not suitable for all prostate cancer cases, especially large or aggressive tumors. 
3. Potential for nerve damage, though lower than traditional methods. 
4. Limited long-term outcome data is still being gathered globally. 

Who Is the Ideal Candidate?

The ideal patients for this procedure are those with:

1. Localized, low-volume, and well-differentiated tumors 
2. No prior pelvic surgeries or severe comorbidities 
3. A strong desire to preserve continence and erectile function 

Patients with large prostates or advanced-stage cancers may require alternative approaches.

Prostate Cancer Treatment in Chandigarh & Mohali – Why Choose Dr Dharmender Aggarwal?

Dr Dharmender Aggarwal is a renowned urology cancer expert specializing in prostate cancer treatment in Chandigarh and Mohali. Dr Dharmender Aggarwal has performed more than 800 robotic urology cancer surgeries. With extensive experience in robotic surgery and a patient-first approach, he has helped countless individuals achieve excellent outcomes with minimal side effects.

From preoperative planning to personalized post-op care, every step is designed to ensure comfort, safety, and long-term success.

Ready to Explore Robotic Surgery for Prostate Cancer?

If you or a loved one has been diagnosed with prostate cancer, advanced robotic options like the Retzius Sparing Prostatectomy could be life-changing.

📞Schedule your consultation today with Dr Dharmender Aggarwal and take the first step toward safer, more precise prostate cancer care.