[Technique of nerve-sparing radical retropubic prostatectomy].
Open radical retropubic prostatectomy is the most popular operative technique for the treatment of clinically localized prostate cancer. Key elements to achieve convincing functional results are a sphincter-preserving ligation of the distal part of Santorini's plexus and the subtle preparation of the neurovascular bundle. This article gives a detailed description of our operative technique. Furthermore, a strategy for patient selection and tumor selection for the indication of a nerve-sparing radical prostatectomy is suggested.
Urologische Klinik, Universitätskrankenhaus Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. graefen@uke.uni-hamburg.de
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D007172:Erectile Dysfunction / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D018579:Patient Selection; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000601:surgery; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods*; D011471:Prostatic Neoplasms / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome