Newer concepts in neural anatomy and neurovascular preservation in robotic radical prostatectomy.
With more than 60% of radical prostatectomies being performed robotically, robotic-assisted laparoscopic prostatectomy (RALP) has largely replaced the open and laparoscopic approaches and has become the standard of care surgical treatment option for localized prostate cancer in the United States. Accomplishing negative surgical margins while preserving functional outcomes of sexual function and continence play a significant role in determining the success of surgical intervention, particularly since the advent of nerve-sparing (NS) robotic prostatectomy. Recent evidence suggests that NS surgery improves continence in addition to sexual function. In this review, we describe the neuroanatomical concepts and recent developments in the NS technique of RALP with a view to improving the "trifecta" outcomes.
Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA.
Sailaja
S
Pisipati
Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA.
Adnan
A
Ali
Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA.
Rao S
RS
Mandalapu
Department of Pathology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA.
George K
GK
Haines Iii
Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA.
Paras
P
Singhal
Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA.
Balaji N
BN
Reddy
Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA.
Robert
R
Leung
Department of Urology, Icahn School of Medicine, Mount Sinai Hospital, New York, NY 10029, USA.
Ashutosh K
AK
Tewari
Prostatic neuroanatomy; nerve sparing; robotic assisted laparoscopic prostatectomy