Newer concepts in neural anatomy and neurovascular preservation in robotic radical prostatectomy

Sailaja Pisipati, Adnan Ali, Rao Mandalapu, George Haines, Paras Singhal, Balaji Reddy, Robert Leung, Ashutosh Tewari

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

With more than 60% of radical prostatectomies being performed robotically, robotic-assisted laparoscopic prostatectomy (RALP) has largely replaced the open and laparoscopic approaches and has become the standard of care surgical treatment option for localized prostate cancer in the United States. Accomplishing negative surgical margins while preserving functional outcomes of sexual function and continence play a significant role in determining the success of surgical intervention, particularly since the advent of nerve-sparing (NS) robotic prostatectomy. Recent evidence suggests that NS surgery improves continence in addition to sexual function. In this review, we describe the neuroanatomical concepts and recent developments in the NS technique of RALP with a view to improving the "trifecta" outcomes.

Original languageEnglish
Pages (from-to)399-409
Number of pages11
JournalIndian Journal of Urology
Volume30
Issue number4
DOIs
StatePublished - 1 Oct 2014

Keywords

  • Prostatic neuroanatomy
  • nerve sparing
  • robotic assisted laparoscopic prostatectomy

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