Investig Clin Urol.  2016 Dec;57(Suppl 2):S172-S184. 10.4111/icu.2016.57.S2.S172.

Nerve-sparing techniques and results in robot-assisted radical prostatectomy

Affiliations
  • 1Department of Urology, Istanbul Bilim University, Istanbul, Turkey. hhtavukcu@yahoo.com

Abstract

Nerve-sparing techniques in robot-assisted radical prostatectomy (RARP) have advanced with the developments defining the prostate anatomy and robotic surgery in recent years. In this review we discussed the surgical anatomy, current nerve-sparing techniques and results of these operations. It is important to define the right and key anatomic landmarks for nerve-sparing in RARP which can demonstrate individual variations. The patients' risk assessment before the operation and intraoperative anatomic variations may affect the nerve-sparing technique, nerve-sparing degree and the approach. There is lack of randomized control trials for different nerve-sparing techniques and approaches in RARP, therefore accurate preoperative and intraoperative assessment of the patient is crucial. Current data shows that, performing the maximum possible nerve-sparing using athermal techniques have better functional outcomes.

Keyword

Erectile dysfunction; Prostate neoplasms; Prostatectomy; Surgical diagnostic techniques
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