Open AccessIntraoperative Frozen Section of the Prostate Reduces the Risk of Positive Margin Whilst Ensuring Nerve Sparing in Patients with Intermediate and High-Risk Prostate Cancer Undergoing Robotic Radical Prostatectomy: First Reported UK Series
Author(s) -
Nikhil Vasdev,
Saurabh Agarwal,
Bhavan Prasad,
Arany Soosainathan,
G. Shaw,
Sebastian Chang,
Venkat Prasad,
Gowrie Mohan-S,
James Adshead
Publication year - 2016
Publication title -
current urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.476
H-Index - 13
eISSN - 1661-7657
pISSN - 1661-7649
DOI - 10.1159/000442860
Subject(s) - medicine , neurovascular bundle , prostatectomy , prostate , prostate cancer , surgery , urology , surgical margin , retractor , laparoscopic radical prostatectomy , frozen section procedure , cancer , resection
Nerve sparing during robotic radical prostatectomy (RRP) considerably improves post-operative potency and urinary continence as long as it does not compromise oncological outcome. Excision of the neurovascular bundle (NVB) is often performed in patients with intermediate and high risk prostate cancer to reduce the risk of positive surgical margin raising the risk of urinary incontinence and impotence. We present the first UK series outcomes of such patients who underwent an intra-operative frozen section (IOFS) analysis of the prostate during RRP allowing nerve sparing.