%0 Comparative Study
%T Comparison of Retzius-sparing robot-assisted laparoscopic radical prostatectomy vs standard robot-assisted radical prostatectomy: a meta-analysis.
%A Jiang YL
%A Zheng GF
%A Jiang ZP
%A Zhen-Li 
%A Zhou XL
%A Zhou J
%A Ye CH
%A Wang KE
%J BMC Urol
%V 20
%N 1
%D Aug 2020 3
%M 32746829
%F 2.09
%R 10.1186/s12894-020-00685-4
%X <B>BACKGROUND: </B>To compare the postoperative continence and clinical outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy (RS-RALP) with non-RS RALP for patients with prostate cancer.<BR><B>METHODS: </B>We searched PUBMED, EMBASE and the Cochrane Central Register from 1999 to 2019 for studies comparing RS-RALP to non-RS RALP for the treatment of prostate cancer. We used RevMan 5.2 to pool the data.<BR><B>RESULTS: </B>A total of seven studies involving 1620 patients were included in our meta-analysis. No significant difference was found in positive surgical margins (PSM), bilateral nerve-sparing, postoperative hernia, complications, blood loss, or operative time. Postoperative continence was better with RS-RALP compared with non-RS RALP (OR = 1.02, OR: 2.86, 95% CI 1.94-4.20, p < 0.05).<BR><B>CONCLUSIONS: </B>RS-RALP had a better recovery of postoperative continence than non-RS RALP. The perioperative outcomes were comparable for the two methods.