Intrafascial nerve-sparing endoscopic extraperitoneal radical prostatectomy.
OBJECTIVE
To present a modification of our previously published technique of nerve-sparing endoscopic extraperitoneal radical prostatectomy (nsEERPE).


METHODS
The technique enables puboprostatic ligament preservation, leaving intact the puboprostatic ligaments, endopelvic fascia, periprostatic fascia, and neurovascular bundles (intrafascial dissection). The modification of nsEERPE was performed in 50 consecutive patients.


RESULTS
The total operative time was 131 minutes (range 75 to 165). The mean catheterization time was 5.4 days (range 5 to 14).


CONCLUSIONS
The intrafascial nsEERPE is a modification of our previously published standard nsEERPE. The anterior approach to the periprostatic fascia enables less traumatic dissection from the prostate and thus, theoretically, a more viable neurovascular bundle.
Stolzenburg
Jens-Uwe
JU
Department of Urology, University of Leipzig, Leipzig, Germany. stolj@medizin.uni-leipzig.de
Rabenalt
Robert
R
Tannapfel
Andrea
A
Liatsikos
Evangelos N
EN
D000368:Aged; D004724:Endoscopy; D005205:Fascia; D006801:Humans; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000294:innervation / Q000601:surgery; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*