Trans-Douglas approach for inTra-fascial nerve sparing roboTic assisTeD raDical prosTaTecTomy
نویسندگان
چکیده
Robotic assisted radical prostatectomy is the widely used treatment modality for organ confined prostate cancer. Erectile dysfunction and incontinence are common drawbacks for radical prostatectomy and this represents the rationale for sparing of the neuro-vascular bundle during this operation. Complete preservation of the peri-prostatic tissue may maximize the nerve sparing, therefore may improve the functional outcomes. In this manuscript we report on how we do complete intra-fascial nerve sparing radical prostatectomy through the Douglas pouch approach, however prospective studies are required to investigate the results of this technique.
منابع مشابه
Anatomic and technical considerations for optimizing recovery of sexual function during robotic-assisted radical prostatectomy.
PURPOSE OF REVIEW Although cure of prostate cancer is the primary goal of radical prostatectomy, preserving erectile function is also tantamount, given the indolent clinical course of most prostate cancers, particularly low-risk disease. In order to optimize postprostatectomy erectile function during a robotic-assisted radical prostatectomy, there must be a detailed understanding of pelvic anat...
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Prostate cancer is the most commonly diagnosed cancer and the second leading cause of cancer-related deaths in men in the US [Parker et al., 1997]. In the Prostate Specific Antigen (PSA) era, minimally invasive and nerve-sparing radical surgery for prostate cancer, e.g., conventional and robot-associated laparoscopic prostatectomy, is widely performed throughout the country. Robotic prostatecto...
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RESULTS: Factors affecting erectile function include age, preoperative SHIM scores, co-morbidities and nerve sparing techniques. Large robotic-assisted laparoscopic radical prostatectomy (RALP) series like the Vattikuti Institute’s and Ohio State University’s demonstrate early potency outcomes: 70% and 80% of patients, respectively, who underwent bilateral nerve sparing and had a pre-operative ...
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