Alternative method of nerve-sparing when performing radical retropubic prostatectomy.
An alternative method of preserving the pelvic parasympathetic nerve plexus and potency when performing a radical retropubic prostatectomy is described. The prostate is removed in an antegrade manner as opposed to the classic retrograde approach with a current potency rate of 60 percent. The advantages of this technique are ease of defining the lateral vascular pedicles and late transection of the dorsal vein complex to minimize bleeding early in the procedure.
D007172:Erectile Dysfunction / Q000517:prevention & control; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods; D008297:Male; D010275:Parasympathetic Nervous System / Q000502:physiology*; D010388:Pelvis / Q000294:innervation*; D011183:Postoperative Complications / Q000517:prevention & control; D011468:Prostatectomy / Q000379:methods*; D013536:Suture Techniques; D001743:Urinary Bladder / Q000601:surgery