title: Intrafascial nerve-sparing endoscopic extraperitoneal radical prostatectomy.
abstract: 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.
authors.affiliation: Department of Urology, University of Leipzig, Leipzig, Germany. stolj@medizin.uni-leipzig.de
authors.forename: Jens-Uwe
authors.initials: JU
authors.lastname: Stolzenburg
authors.forename: Robert
authors.initials: R
authors.lastname: Rabenalt
authors.forename: Andrea
authors.initials: A
authors.lastname: Tannapfel
authors.forename: Evangelos N
authors.initials: EN
authors.lastname: Liatsikos
mesh_terms: 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*