Nerve-sparing radical prostatectomy remains the optimal curative treatment of prostate cancer in patients who want to maintain erectile function. Since its development, there has been a gradual decline in its effectiveness concerning the prevention of ED, which was associated with the currently more objective assessment of erectile function at both the pre- and post-operative stage. There is a knowledge gap in the precise understanding of which specific neural structures should be preserved with the nerve-sparing technique. At the same time, there have been proposed effective methods for visualizing the elements of the preserved vascular-neural bundle and estimating the degree of nerve-sparing.
Urologiia (Moscow, Russia : 1999). 2017 Dec [Epub]
N D Akhvlediani, P G Shvarts, Ya V Kirichuk
I.M. Sechenov First MSMU of Minzdrav of Russia, Moscow, Russia.