Introduction. Since the introduction of robot-assisted prostatectomy, ongoing improvement of surgical intervention techniques has continued. The effectiveness of the operation is determined by both oncological safety and functional results. The development of an intraoperative per- sonalized approach for the fastest possible of urinary continence recovery and erectile function, without compromising the oncological results of surgery, remains an urgent issue.
Results. We described a case of robot-assisted radical prostatectomy with the technique of partial sparing of Retzius space, intraoperative assessment of the surgical margin using the CYCLOP method, lateral reconstruction of the urethrovesical anastomosis and provides a literature review.
Discussion. The evolution of nerve-sparing radical prostatectomy techniques is focused on preserving as many nerves as possible, which are in- volved in continence and erectile function. It is important to adhere to the principles of radicality, which is ensured, among other things, by the availability of rapid intraoperative histological examination. Currently known reconstructive techniques for creating urethrovesical anastomosis are not without their drawbacks. Therefore, the development of optimal techniques is ongoing.
Conclusion. The development of an intraoperative strategy for a personalized approach to achieving the trifecta of RPPE results will improve the functional outcomes of the surgery without affecting the oncological radicality.
