The Hood technique has emerged as a promising modification in robotic-assisted radical prostatectomy (RARP), aiming to enhance early continence recovery by preserving periurethral structures. This study reports the initial outcomes of applying the Hood technique in RARP at a high-volume tertiary hospital in Vietnam

We prospectively enrolled 20 patients with localized or locally advanced prostate cancer who underwent RARP using the Hood technique from January 2023 to February 2025. Clinical, perioperative, oncological, and functional outcomes were systematically collected and analyzed, including operative time, estimated blood loss, complications, surgical margins, continence recovery, and biochemical recurrence.

The mean patient age was 66 ± 7.7 years; mean PSA was 26.3 ± 24.9 ng/mL. Most tumors were ISUP grade 2–3, and 70% were pathologic stage pT2. Mean operative time was 285.5 ± 36.6 minutes, with a mean blood loss of 161 ± 99 mL. No conversions to open surgery or major complications were recorded. All patients had negative apical surgical margins. The continence rate reached 35% at 1 week, 65% at 1 month, 90% at 3 months, and 100% at 12 months. No biochemical recurrence was observed during the median follow-up of 10.2 months.

Our early experience suggests that the Hood technique in RARP is safe and effective, yielding excellent early continence recovery and favorable oncologic outcomes. Further studies with larger cohorts and longer follow-up are warranted to validate these findings.