Hood Technique for Radical Prostatectomy

The hood technique is a modification of the robotic-assisted radical prostatectomy used for the treatment of prostate cancer. The hood technique was developed in 2018 with the goal of preserving the structures anterior to the urethra during apical dissection to facilitate early postoperative recovery of urinary continence. Similar techniques have been published in the past, reporting excellent continence recovery rates, including the PERUSIA extraperitoneal technique and the retrograde release of the neurovascular bundle. Additionally, puboprostatic ligament sparing was shown to reduce postoperative urinary incontinence in the open era. The hood technique is an alternative to Retzius-sparing radical prostatectomy, which also spares the anterior structures by preserving the entire anterior space of Retzius.