title: Nerve-sparing techniques and results in robot-assisted radical prostatectomy.
abstract: Nerve-sparing techniques in robot-assisted radical prostatectomy (RARP) have advanced with the developments defining the prostate anatomy and robotic surgery in recent years. In this review we discussed the surgical anatomy, current nerve-sparing techniques and results of these operations. It is important to define the right and key anatomic landmarks for nerve-sparing in RARP which can demonstrate individual variations. The patients' risk assessment before the operation and intraoperative anatomic variations may affect the nerve-sparing technique, nerve-sparing degree and the approach. There is lack of randomized control trials for different nerve-sparing techniques and approaches in RARP, therefore accurate preoperative and intraoperative assessment of the patient is crucial. Current data shows that, performing the maximum possible nerve-sparing using athermal techniques have better functional outcomes.
authors.affiliation: Department of Urology, Istanbul Bilim University, Istanbul, Turkey.
authors.forename: Hasan Hüseyin
authors.initials: HH
authors.lastname: Tavukçu
authors.affiliation: Department of Urology, Istanbul Bilim University, Istanbul, Turkey.
authors.forename: Omer
authors.initials: O
authors.lastname: Aytac
authors.affiliation: Department of Urology, Istanbul Bilim University, Istanbul, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Atug
keywords: Erectile dysfunction; Prostate neoplasms; Prostatectomy; Surgical diagnostic techniques