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KMID : 1011820160570000172
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Investigative and Clinical Urology
2016 Volume.57 No. 0 p.172 ~ p.184
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Nerve-sparing techniques and results in robot-assisted radical prostatectomy
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Tavukcu Hasan Huseyin
Aytac Omer
Atug Fatih
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Abstract
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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.
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KEYWORD
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Erectile dysfunction, Prostate neoplasms, Prostatectomy, Surgical diagnostic techniques
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