The neurovascular bundle of the prostate and cavernosal nerves have been used to describe the same structure ever since the publication of the first studies on the neuroanatomy of the lower urogenital tract of men, studies that were prompted by postoperative complications arising from radical prostatectomy. In urological surgery every effort is made to preserve or restore the neurovascular bund...

A positive surgical margin (PSM) significantly reduces the likelihood of progression-free survival, including PSA recurrence-free survival, local recurrence-free survival and development of metastases after radical prostatectomy in multivariate analysis. Moreover, positive margins are associated with a 2.6-fold increased risk of prostate cancer specific mortality. Careful inking of the outer su...

Herein, we will review the available literature about robot-assisted radical prostatectomy in patients who have undergone prostate surgery or radiotherapy. Current data about this topic consists of small case series with limited follow-up. Despite being technically demanding, robot-assisted radical prostatectomy (RARP) can be considered feasible in either setting. Prostate surgery or prostatic ...

INTRODUCTION We offer an overview of the intra-, peri- and postoperative outcomes of laparoscopic radical prostatectomy (LRP) with the endpoint to evaluate potential advantages of this approach. MATERIALS AND METHODS We conducted an extensive Medline literature search (search terms "laparoscopic radical prostatectomy" and "radical prostatectomy") from 1990 until 2007. Only full-length English...

Recurrent disease following radical prostatectomy will occur in approximately 20% of patients, for whom the therapeutic options include surveillance, salvage radiotherapy, or hormonal therapy. This review will focus on the evidence for salvage radiotherapy. Efficacy results of 30-50% have been reported from multiple retrospective series, with minimal morbidity. Unfortunately there are no random...

There has been an increase in the incidence of prostate cancer over time, and it now constitutes 15% of all male cancers in developed countries and 4% in developing countries. Radical prostatectomy is the gold-standard treatment choice in cases determined with organ-confined prostate cancer and life expectancy is >10 years. Currently in the USA, 80% of radical prostatectomy operations are robot...

Robot-assisted radical prostatectomy is becoming the method of choice for the surgical removal of the prostate [ 2 ] , with a substantial proportion of radical prostatectomies performed this way in the UK in 2011 .The wristed instruments, 3D vision and 10x magnifi cation and the robotic cart, which obviate the need for an assistant to hold the camera, facilitate the operation, especially the cr...