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Retzius-Sparing Robotic Prostatectomy in Korea

Treatment Overview

Retzius-sparing robotic prostatectomy (RSRP) is an advanced minimally invasive surgical technique for treating localized prostate cancer while preserving key anatomical structures in the Retzius space. Unlike conventional robotic prostatectomy, this approach avoids disruption of the Retzius space, which contains tissues and ligaments critical for urinary continence.

Korea is a global leader in performing retzius-sparing procedures, combining skilled robotic urologists, state-of-the-art surgical systems, and high-precision techniques. This method aims to provide excellent cancer control while minimizing postoperative urinary incontinence and improving early recovery of bladder function.


Purpose & Benefits

The primary purpose of RSRP is to remove the prostate gland effectively while preserving urinary continence and sexual function.

Key benefits include:
• Minimally invasive surgery with smaller incisions
• Preservation of Retzius space structures for faster continence recovery
• Reduced risk of postoperative urinary incontinence
• Lower blood loss compared to traditional surgery
• Shorter hospital stay and faster return to daily activities
• Precise tumor removal with robotic assistance
• Improved overall postoperative quality of life

Korean hospitals focus on combining oncological safety with functional preservation to enhance patient outcomes.


Ideal Candidates

RSRP is ideal for patients with localized prostate cancer who wish to minimize the risk of postoperative incontinence and preserve quality of life.

Ideal candidates include:
• Men with low to intermediate-risk localized prostate cancer
• Patients seeking a minimally invasive approach with faster continence recovery
• Men concerned about urinary function after prostatectomy
• Patients in good overall health suitable for anesthesia
• Men who prefer robotic surgery for precision and minimal tissue disruption

Korean urologists perform comprehensive evaluations, including MRI, biopsy, PSA levels, and preoperative functional assessments to determine candidacy.


Possible Risks & Complications

Although RSRP is generally safe, potential risks include:
• Infection at the incision or surgical site
• Bleeding or hematoma
• Urinary leakage or delayed continence
• Erectile dysfunction if nerves are affected
• Rare anesthesia-related complications
• Scar tissue formation or urethral stricture

Korean hospitals minimize risks through robotic precision, meticulous surgical planning, and structured postoperative care.


Techniques & Technology Used

Korea employs advanced techniques and technology for RSRP:
• Robotic-assisted minimally invasive surgery for precise dissection
• Preservation of Retzius space to maintain support structures
• High-definition 3D visualization for accurate nerve-sparing
• Minimally invasive micro-incisions to reduce tissue trauma
• Intraoperative imaging and navigation for tumor localization
• Advanced suturing and reconstruction techniques to optimize continence
• Enhanced recovery protocols to accelerate functional recovery

These technologies enable high-precision surgery with better functional outcomes compared to conventional robotic prostatectomy.


Treatment Process in Korea

The RSRP process in Korea is patient-friendly and structured for optimal results:

  1. Pre-Arrival Consultation
    Patients provide medical history, imaging, PSA results, and biopsy reports.
  2. In-Person Evaluation
    MRI, lab tests, and urodynamic studies assess suitability for retzius-sparing surgery.
  3. Surgical Planning
    Surgeons develop a personalized plan including nerve-sparing strategy, Retzius preservation, and incision sites.
  4. Surgery
    The procedure typically lasts 2–4 hours under general anesthesia, using robotic-assisted minimally invasive techniques.
  5. Hospital Recovery
    Patients generally stay 1–2 days for monitoring, pain management, and early mobilization.
  6. Postoperative Care
    Catheter removal occurs 5–7 days after surgery. Follow-ups monitor urinary continence, PSA levels, and sexual function.
  7. Long-Term Follow-Up
    Regular checkups assess cancer control, continence, sexual function, and overall health.

Recovery & After-Care

Recovery after RSRP is generally faster than conventional prostatectomy due to Retzius preservation:
• Mild discomfort or swelling for a few days
• Early mobilization within 24 hours
• Gradual return to daily activities within 2–3 weeks
• Avoid heavy lifting or strenuous activity for 4–6 weeks
• Pelvic floor exercises to enhance urinary continence
• Long-term monitoring of PSA and functional outcomes

Korean hospitals provide structured after-care programs, patient education, and telemedicine support for international patients.


Results & Longevity

RSRP offers excellent functional and oncological outcomes:
• Faster recovery of urinary continence compared to conventional approaches
• Effective tumor removal with minimal risk of recurrence
• Preservation of sexual and urinary function
• Short hospital stay and quick return to normal life
• Long-term PSA monitoring ensures early detection of recurrence

Korean expertise and advanced robotic technology make RSRP a safe, effective, and patient-friendly option.


Why Korea Is a Top Destination

Korea is a preferred destination for retzius-sparing robotic prostatectomy due to:
• Highly experienced robotic urologic surgeons
• Advanced, internationally accredited hospitals
• Cutting-edge robotic surgical systems with 3D visualization
• Streamlined medical tourism services including interpreters and travel coordination
• Short waiting times and efficient scheduling
• Competitive costs compared to Western countries
• Comprehensive post-operative care and rehabilitation programs

These factors make Korea an ideal destination for men seeking high-quality RSRP with optimal functional outcomes.


Cost Range

The cost of retzius-sparing robotic prostatectomy in Korea typically ranges from USD 16,000 – 30,000, depending on:
• Hospital category (general vs. premium international center)
• Use of robotic surgical systems
• Preoperative diagnostics and imaging
• Length of hospital stay and follow-up care

Many hospitals provide all-inclusive packages covering surgery, diagnostics, hospitalization, and postoperative care for international patients.


Popular Clinics in Korea

Top hospitals offering RSRP in Korea include:
• Samsung Medical Center
• Asan Medical Center
• Seoul National University Hospital (SNUH)
• Severance Hospital (Yonsei University Health System)
• Korea University Anam Hospital
• W Hospital Urology Center
• BnU Urology Clinic
• Chung-Ang University Hospital

These centers provide advanced robotic surgery, expert surgeons, and comprehensive support for international patients.

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