Retrograde Extraperitoneal Laparoscopic Prostatectomy (R.E.L.P.)

This video presentation provides discussion of the Lyon Technique, which represents an initial approach to the apico-urethro-fascial, sphincteral, erectile and rectal junction with retrograde, prostato-semino-rectal cleavage and ascending dissection of the erectile neurovascular bundles. The presentation by Dr. Pierre Dubernard begins with an introduction and historical overview, and then introduces the Lyon Technique. Discussion encompasses pre-operative installation, and descriptions of necessary instruments and related equipment. The four stages of the R.E.L.P. technique are outlined in a manner that emphasizes the procedures objective, which is to reproduce the intervention as it is performed with a standard open surgical approach. Potential complication and results are also described.