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Kaviani Open Modified- Radical Prostatectomy (KOM-RP)

Radical prostatectomy is probably the most common procedure to treat localized prostate cancer. A radical prostatectomy is a surgery to remove the entire prostate gland and seminal vesicles and, on occasion, regional lymph nodes. If the cancer is localized and completely removed, surgery may cure  the prostate cancer. Sometimes, erectile dysfunction, urinary incontinence, urethral stricture and some other complications may occur in some patients. The three goals of surgery, in order of importance, are cancer control, preservation of urinary control, and preservation of sexual function. Sometimes, unfortunately, some part of cancer may be left behind. However, in these cases some adjuvant treatments like radiation therapy may be offered to candidate patients.A radical prostatectomy can be done in different ways.

KOM-RP or Kaviani Open Modified- Radical Prostatectomy was argued for and implemented after analysis of techniques of many successful robotic, laparoscopic and open prostate cancer surgeons across the globe. 

Style:

KOM-RP is an open surgery, however it is done in an antegrade fashion like robotic prostatectomy. But, unlike robotic, sutures are put just before cutting the urethra.

To increase overall continence rate:

Like robotic, urethra is cut at the end. This will help to preserve maximal urethral length. Puboprostatic ligaments will be preserved. Also,posterior  musculofascial reconstruction (Rocco stitch) will be done. 
  • To increase overall potency rate after surgery:

Like robotic, an antegrade intra or interfascial prostetectomy is done in appropriate candidates. 

To reduce urethral stricture:

Like Walsh open radical prostatectomy, 6-8 sutures are put before cutting the urethra but unlike Walsh technique it is done at the end of surgery.

Picture from Cancer.gov