Open AccessNewer concepts in neural anatomy and neurovascular preservation in robotic radical prostatectomy
Author(s) -
Sailaja Pisipati,
Adnan Ali,
Rao S. Mandalapu,
G. Kenneth Haines,
Pratibha Singhal,
Balaji Reddy,
Robert Leung,
Ashutosh Tewari
Publication year - 2014
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.142064
Subject(s) - neurovascular bundle , medicine , prostatectomy , sexual function , prostate cancer , laparoscopic radical prostatectomy , urinary continence , erectile function , laparoscopy , urology , general surgery , surgery , erectile dysfunction , cancer
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.