Salvage robot-assisted radical prostatectomy (SRARP)

Abstract

Surgical management of radiorecurrent prostate cancer remains a challenge for urologic surgeons regardless of surgical approach (open or robotic). The surgical standard has always been salvage open radical prostatectomy via a retropubic or perineal approach. With the advent of robotics, surgeons now have a new surgical approach to offer patients suffering from the difficult diagnosis of radiorecurrent prostate cancer. Herein, we aim to review the current literature on biochemical recurrence of prostate cancer following primary treatment with radiation and the role of surgical treatment (open, laparoscopic, and robotic). Indications, patient selection, preoperative preparation, and technical modifications for salvage robot-assisted radical prostatectomy (SRARP) will be reviewed in this chapter.