Newer concepts in neural anatomy and neurovascular preservation in robotic radical prostatectomy
Identifieur interne : 000918 ( Ncbi/Curation ); précédent : 000917; suivant : 000919Newer concepts in neural anatomy and neurovascular preservation in robotic radical prostatectomy
Auteurs : Sailaja Pisipati [États-Unis] ; Adnan Ali [États-Unis] ; Rao S. Mandalapu [États-Unis] ; George K. Haines Iii [États-Unis] ; Paras Singhal [États-Unis] ; Balaji N. Reddy [États-Unis] ; Robert Leung [États-Unis] ; Ashutosh K. Tewari [États-Unis]Source :
- Indian Journal of Urology : IJU : Journal of the Urological Society of India [ 0970-1591 ] ; 2014.
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.
Url:
DOI: 10.4103/0970-1591.142064
PubMed: 25378822
PubMed Central: 4220380
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Tewari</name><affiliation wicri:level="2"><nlm:aff id="aff1">Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><series><title level="j">Indian Journal of Urology : IJU : Journal of the Urological Society of India</title><idno type="ISSN">0970-1591</idno><idno type="eISSN">1998-3824</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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. 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