ABSTRACT
Retropubic radical prostatectomy (RRP) was first described by Millin in 1947,1 but never gained popularity because of significant morbidity and mortality. This trend changed following the description of the anatomic retropubic prostatectomy by Walsh.2 In the past two decades, it has become one of the most common oncologic procedures performed in the US.3 Better understanding of the structural and functional anatomy of the pelvic floor, including the cavernosal nerves, dorsal venous complex, sphincter muscles, and puboprostatic ligaments has led to several modifications which result in better oncologic and functional outcome with a dramatic reduction in perioperative morbidity. This chapter summarizes various contemporary modifications to RRP.
