title: [Technical aspects of nerve sparing during retropubic prostatectomy].
abstract: 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.
authors.affiliation: Department of Urology, University Medical Center Eppendorf, Martinistr. 52, 20246 Hamburg, Allemagne. jwalz@uke.uni-hamburg.de
authors.forename: J
authors.initials: J
authors.lastname: Walz
authors.forename: M
authors.initials: M
authors.lastname: Graefen
authors.forename: U H G
authors.initials: UH
authors.lastname: Michl
authors.forename: H
authors.initials: H
authors.lastname: Heinzer
authors.forename: M G
authors.initials: MG
authors.lastname: Friedrich
authors.forename: C
authors.initials: C
authors.lastname: Eichelberg
authors.forename: A
authors.initials: A
authors.lastname: Haese
authors.forename: H
authors.initials: H
authors.lastname: Huland
mesh_terms: 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*