Technical advances in nerve-sparing and continence preservation

Adriana M. Pedraza, Vinayak Wagaskar, Sneha Parekh, Ashutosh Tewari

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Purpose of review Urinary incontinence and erectile dysfunction are common after radical prostatectomy. These side effects greatly impact patients' quality of life. Therefore, surgical techniques and technology tools are constantly being developed to optimize trifecta outcomes. Here we focus on advances in nerve-sparing (NS) and continence preservation. Recent findings New surgical techniques dedicated to preservation rather than reconstruction have been developed to improve urinary continence (UC) and NS. On the other hand, intraoperative assessment of prostatic and periprostatic structures has shown promising outcomes toward NS whereas avoiding omission of extracapsular extension (ECE). Likewise, neural regeneration strategies are under research to improve return of erectile function and UC. Summary Superb outcomes after Robot-Assisted Radical Prostatectomy require a proper balance between NS and risk of ECE. Detailed anatomic knowledge together with an accurate surgical planning are cornerstone for tailoring the approach in each case.

Original languageEnglish
Pages (from-to)204-210
Number of pages7
JournalCurrent Opinion in Urology
Volume32
Issue number2
DOIs
StatePublished - 1 Mar 2022

Keywords

  • Nerve-sparing
  • Robotic-assisted radical prostatectomy
  • Urinary continence

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