Comprehensive approach for preserving cavernous nerves and erectile function after radical prostatectomy in the era of robotic surgery

Abstract A nerve‐sparing procedure during robot‐assisted radical prostatectomy has been considered one of the most important techniques for preserving postoperative genitourinary function. The reason is that adequate procedures could preserve both erectile function and lower urinary tract after surgery. When a carried out, cavernous nerves themselves cannot be visualized, despite magnified viewing field prostatectomy. Thus, have challenging operations, even now. However, because not all surgeons out sufficient number procedures, development new or methods mapping required. Recently, various operative techniques, example, Retzius‐sparing prostatectomy, transvesical retrograde release neurovascular bundle technique developed. In addition, surgical devices, biological/bioengineering solutions nerve protection devices identifying developed to nerves. contrast, limitations problems in become apparent. particular, recovery rate function, positive margin at site indications sparing obvious with accumulation much evidence. Furthermore, predictive factors also clarified. this article, importance comprehensive approach early era discussed.