Newer concepts in neural anatomy and neurovascular preservation in robotic radical prostatectomy - Abstract

With more than 60% of radical prostatectomies being performed robotically, robotic-assisted laparoscopic prostatectomy (RALP) has largely replaced the open and laparoscopic approaches and has become the standard of care surgical treatment option for localized prostate cancer in the United States.

Accomplishing negative surgical margins while preserving functional outcomes of sexual function and continence play a significant role in determining the success of surgical intervention, particularly since the advent of nerve-sparing (NS) robotic prostatectomy. Recent evidence suggests that NS surgery improves continence in addition to sexual function. In this review, we describe the neuroanatomical concepts and recent developments in the NS technique of RALP with a view to improving the "trifecta" outcomes.

Written by:
Pisipati S, Ali A, Mandalapu RS, Haines Iii GK, Singhal P, Reddy BN, Leung R, Tewari AK.   Are you the author?
Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA; Department of Pathology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA.

Reference: Indian J Urol. 2014 Oct;30(4):399-409.
doi: 10.4103/0970-1591.142064


PubMed Abstract
PMID: 25378822

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