For patients diagnosed with localized prostate cancer, there are multiple treatment options available. The traditional treatment modalities include radical prostatectomy and radiotherapy. Nevertheless, focal therapy, including high-intensity focused ultrasound (HIFU) and cryotherapy, has emerged as a less-invasive method in this setting. Some patients undergoing primary radiation therapy experience recurrence, but there is currently no consensus on the optimal approach for salvage treatment in such cases. The lack of robust data and randomized controlled trials comparing different whole-gland and focal salvage therapies presents a challenge in determining the ideal treatment strategy. This narrative review examines the prospective and retrospective data available on salvage HIFU following radiation therapy. Based on the literature, salvage HIFU for radio-recurrent prostate cancer has promising oncological outcomes, with an overall 5-year survival rate of around 85%, as well as incontinence rates of about 30% based on the patient’s risk group, follow-up times, definitions used, and other aspects of the study. Salvage HIFU for prostate cancer proves to be an effective treatment modality for select patients with biochemical recurrence following radiotherapy.

We present a novel technique to perform single-port (SP) robot-assisted partial cystectomy with excision of the urachal remnant and bilateral pelvic lymph node dissection for urachal adenocarcinoma (¹ 1 Dursun F, Lim K, Svatek RS, Xu J, El-Zaatari ZM, Wenker EP, et al. Clinical outcomes and patterns of population-based management of urachal carcinoma of the bladder: An analysis of the National Cancer Database. Cancer Med. 2022;11:4273-82. doi: 10.1002/cam4.4786. https://doi.org/10.1002/cam4.4786... –⁷ 7 Antoni S, Ferlay J, Soerjomataram I, Znaor A, Jemal A, Bray F. Bladder Cancer Incidence and Mortality: A Global Overview and Recent Trends. Eur Urol. 2017;71:96-108. doi: 10.1016/j.eururo.2016.06.010. https://doi.org/10.1016/j.eururo.2016.06... ).

Introduction: Robotic Radical Prostatectomy using the Da-Vinci Single-Port (SP) robot can provide comparable functional and oncological outcomes with potential advantages pertaining to peri-operative morbidity, especially in patients with an extensive history of prior abdominal surgeries (¹, ²).

This video explores the technique of robot-assisted partial nephrectomy using the Da-Vinci Single-Port robot via SARA in a 56-year-old male with history of diverticulitis found to have a 2.5 cm renal mass upon workup for abdominal pain. Retroperitoneal access was obtained at the McBurney point for port placement. Surgical steps: 1) retroperitoneal access at McBurney's point 2) renal hilum dissection 3) renal tumor identification 4) intraoperative ultrasound 5) hilar clamping 6) renal tumor excision using enucleoresection technique 7) Deep renorrhaphy 8) Early unclamping and cortical renorrhaphy. Surgery was successful without any complications with a warm ischemia time of 14 minutes.