[Neurological and vascular preservation during laparoscopic radical prostatectomy].
نویسنده
چکیده
The objective of the cavernous nerve preservation is to avoid injury of the unmyelinated nerve fibers and arteries destined to the corpora cavernosa. Dissection anatomical plans could be inter or extra fascial allowing complete or partial neurovascular bundle preservation. The technique is chosen according to the carcinological evaluated risk and anatomical characteristics. Accessory pudendal arteries preservation must be performed when such an artery is identified in order to improve the chance of recovery of spontaneous erections.
منابع مشابه
Bladder neck preservation during classic laparoscopic radical prostatectomy – point of technique and preliminary results
INTRODUCTION Stress urinary incontinence after radical prostatectomy for prostate cancer organ-confined patients can significantly affect quality of life. The article presents a technique of bladder neck preservation, because it is believed that this point is one of many crucial points responsible for fast recovery of continence after laparoscopic radical prostatectomy (LRP). MATERIAL AND MET...
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INTRODUCTION/OBJECTIVE Radical retropubic prostatectomy (RRP) is the gold standard for the surgical treatment of localized prostate cancer. New techniques are being developed with less invasive methods, including laparoscopic radical prostatectomy (LRP) and robotic-assisted laparoscopic radical prostatectomy (RALP). The aim of the study is to compare LRP and RALP outcomes during the learning cu...
متن کاملTandem-robot assisted laparoscopic radical prostatectomy to improve the neurovascular bundle visualization: a feasibility study.
OBJECTIVES To examine the feasibility of image-guided navigation using transrectal ultrasound (TRUS) to visualize the neurovascular bundle (NVB) during robot-assisted laparoscopic radical prostatectomy (RALP). The preservation of the NVB during radical prostatectomy improves the postoperative recovery of sexual potency. The accompanying blood vessels in the NVB can serve as a macroscopic landma...
متن کامل[Complications and nerve preservation in prostatectomy according to the time interval from diagnostic biopsy].
OBJECTIVES To summarize the available evidence on complications and bilateral nerve preservation in radical prostatectomy in patients according to the time interval from diagnostic biopsy (more or less than six weeks). MATERIAL AND METHODS Relevant studies were identified by using structured and specific search strategies for each of the databases consulted, without limitations. The methodolo...
متن کاملLaparoscopic radical prostatectomy with bladder neck preservation: positive surgical margin and urinary continence status
INTRODUCTION Preservation of the bladder neck (BN) has been controversial, as limited excision of the bladder neck may result in incomplete resection of the disease. Moreover, the urinary continence rate may not be improved. AIM To evaluate the effect of bladder neck sparing on urinary continence, and surgical margins status in prostate cancer (PCa) patients treated with laparoscopic radical ...
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ورودعنوان ژورنال:
- Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie
دوره 19 Suppl 4 شماره
صفحات -
تاریخ انتشار 2009