World Congress of Endourology,
This session consisted of 30 posters of high quality work relating to robot assisted radical prostatectomy.
The most interesting abstracts included work presented by Dr. Capello from
Dr. Ahlering from UCI presented two very interesting posters. The first dealt with a technique change from bipolar energy based nerve sparing to a cautery free technique. The new technique involves the placement of laparoscopic bulldog clips on the pedicle with cold dissection of the neurovascular bundle away from the prostate. The technical change resulted in a marked increase in the number of patients that regained early potency. At 3 months, the cautery free group had 42% recovery vs. 8.3% for the cautery technique. At 9 months, the cautery free group had 76% recovery vs. 20%.
In another poster, Dr. Ahlering found that a slightly wider resection of the urethra of 3-6 mm resulted in better margin rates without decreasing continence. Overall margin rates were 17.6% versus 6% before and after the technique change. This decrease was seen in both T2 and T3 pathological specimens. Continence rates were stable with 1 year rates of 89% and 95% before and after respectively.
Dr. Patel from
Dr. Abraham from the