[Technical aspects of nerve sparing during retropubic prostatectomy].
Retropubic radical prostatectomy is the most commonly used therapeutic option for the treatment of clinically localized prostate cancer. An ongoing stage migration towards organ-confined cancers allows performing a nerve-sparing procedure in a growing number of patients. Key elements for achieving 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 the operative technique. Furthermore, a strategy for patient selection and tumour selection for the indication of nerve-sparing radical prostatectomy (NSRP) is suggested.
Walz
J
J
Department of Urology, University Medical Center Eppendorf, Martinistr. 52, 20246 Hamburg, Allemagne. jwalz@uke.uni-hamburg.de
Graefen
M
M
Michl
U H G
UH
Heinzer
H
H
Friedrich
M G
MG
Eichelberg
C
C
Haese
A
A
Huland
H
H
D007172:Erectile Dysfunction / Q000517:prevention & control; D006801:Humans; D008297:Male; D018579:Patient Selection; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control; D011467:Prostate / Q000294:innervation / Q000601:surgery; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*