title: Hemostasis during nerve-sparing endoscopic extraperitoneal radical prostatectomy.
abstract: The incidence of bleeding during laparoscopic radical prostatectomy has been reported to range between 1% and 7.6%. Postoperative bleeding complications have been encountered in 0.7% of endoscopic extraperitoneal radical prostatectomy cases and require endoscopic or open re-intervention. Thus, bleeding complications represent a significant factor of intra- and postoperative morbidity. We review our experience with endoscopic extraperitoneal radical prostatectomy, and we propose methods to prevent and manage intraoperative bleeding complications. In addition, special technical considerations regarding the nerve-sparing procedures are presented.
authors.affiliation: Department of Urology, University of Leipzig, Leipzig, Germany.
authors.forename: Jens-Uwe
authors.initials: JU
authors.lastname: Stolzenburg
authors.forename: Minh
authors.initials: M
authors.lastname: Do
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Kallidonis
authors.forename: Nabi
authors.initials: N
authors.lastname: Ghulam
authors.forename: Giles
authors.initials: G
authors.lastname: Hellawell
authors.forename: Tim
authors.initials: T
authors.lastname: Haefner
authors.forename: Evangelos N
authors.initials: EN
authors.lastname: Liatsikos
mesh_terms: D016063:Blood Loss, Surgical / Q000517:prevention & control; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods*; D006487:Hemostasis; D006801:Humans; D008297:Male; D010537:Peritoneum / Q000601:surgery; D011467:Prostate / Q000098:blood supply / Q000294:innervation* / Q000601:surgery*; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods*