Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases

AUTOR(ES)

Moschovas, Marcio Covas; Patel, Vipul

FONTE

International braz j urol

DATA DE PUBLICAÇÃO

2022

RESUMO

ABSTRACT Despite the neuroanatomy knowledge of the prostate described initially in the 1980's and the robotic surgery advantages in terms of operative view magnification, potency outcomes following robotic-assisted radical prostatectomy still challenge surgeons and patients due to its multifactorial etiology. Recent studies performed in our center have described that, in addition to the surgical technique, some important factors are associated with erectile dysfunction (ED) following robotic-assisted radical prostatectomy (RARP). These include preoperative Sexual Health Inventory for Men (SHIM) score, age, preoperative Gleason score, and Charlson Comorbidity Index (CCI). After performing 15,000 cases, in this article we described our current Robotic-assisted Radical Prostatectomy technique with details and considerations regarding the optimal approach to neurovascular bundle preservation.

Documentos Relacionados

• Nerve-sparing robotic-assisted radical prostatectomy: how I do it after 15.000 cases
• Robotic-assisted laparoscopic prostatectomy
• Robotic-assisted radical prostatectomy learning curve for experienced laparoscopic surgeons: does it really exist?
• Factors affecting urinary continence and sexual potency recovery after robotic-assisted radical prostatectomy
• Retzus-sparing robotic-assisted laparoscopic radical prostatectomy: a step–by-step technique description of this first brazilian experience