title: [Techniques for neurovascular bundle preservation during retropubic radical prostatectomy].
abstract: Although radical prostatectomy is a curative therapy that has proven effective in many of our patients with prostate cancer, it is still associated with significant morbidity, which includes postoperative erectile dysfunction among its leading exponents. Potency after the intervention may be influenced by many factors, among which, presence of adequate erectile function before surgery, patient's age, stage of disease at the time of treatment, surgeon's experience and, of course, interpersonal anatomical variations may be pointed out. In recent decades, the exact knowledge of the neuroanatomy of the male pelvis has become very important, for both the student of human anatomy and the pelvic surgeon. Therefore, the anatomical nerve sparing techniques have led to fewer complications related to the injury of these structures. This article presents a brief description of the neuroanatomical substrate of the neurovascular bundles along with a detailed compilation of the different surgical techniques for their preservation during radical retropubic prostatectomy.
authors.affiliation: Servicio de Urología, Hospital Universitario de Getafe, Madrid, España. fjgg1975@yahoo.com
authors.forename: Javier
authors.initials: J
authors.lastname: González
authors.forename: Emilio
authors.initials: E
authors.lastname: Hernández
mesh_terms: D007172:Erectile Dysfunction / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007001:Hypogastric Plexus / Q000033:anatomy & histology / Q000601:surgery; D008297:Male; D009422:Nervous System Diseases / Q000209:etiology* / Q000517:prevention & control*; D010388:Pelvis / Q000033:anatomy & histology / Q000098:blood supply / Q000294:innervation; D011183:Postoperative Complications / Q000517:prevention & control; D011467:Prostate / Q000294:innervation / Q000601:surgery; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*