Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases
ABSTRACT Despite the neuroanatomy knowledge of the prostate described initially in the 1980's and the robotic surgery advantages in terms of operative view magnification, potency outcomes following robotic-assisted radical prostatectomy still challenge surgeons and patients due to its multifact...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
Sociedade Brasileira de Urologia
2022-03-01
|
Series: | International Brazilian Journal of Urology |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382022000200212&tlng=en |
_version_ | 1818338289761910784 |
---|---|
author | Marcio Covas Moschovas Vipul Patel |
author_facet | Marcio Covas Moschovas Vipul Patel |
author_sort | Marcio Covas Moschovas |
collection | DOAJ |
description | ABSTRACT Despite the neuroanatomy knowledge of the prostate described initially in the 1980's and the robotic surgery advantages in terms of operative view magnification, potency outcomes following robotic-assisted radical prostatectomy still challenge surgeons and patients due to its multifactorial etiology. Recent studies performed in our center have described that, in addition to the surgical technique, some important factors are associated with erectile dysfunction (ED) following robotic-assisted radical prostatectomy (RARP). These include preoperative Sexual Health Inventory for Men (SHIM) score, age, preoperative Gleason score, and Charlson Comorbidity Index (CCI). After performing 15,000 cases, in this article we described our current Robotic-assisted Radical Prostatectomy technique with details and considerations regarding the optimal approach to neurovascular bundle preservation. |
first_indexed | 2024-12-13T15:08:45Z |
format | Article |
id | doaj.art-0081f48e025f47f5847b18769dcdee3b |
institution | Directory Open Access Journal |
issn | 1677-6119 |
language | English |
last_indexed | 2024-12-13T15:08:45Z |
publishDate | 2022-03-01 |
publisher | Sociedade Brasileira de Urologia |
record_format | Article |
series | International Brazilian Journal of Urology |
spelling | doaj.art-0081f48e025f47f5847b18769dcdee3b2022-12-21T23:40:56ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192022-03-0148221221910.1590/s1677-5538.ibju.2022.99.04Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 casesMarcio Covas Moschovashttps://orcid.org/0000-0002-3290-7323Vipul PatelABSTRACT Despite the neuroanatomy knowledge of the prostate described initially in the 1980's and the robotic surgery advantages in terms of operative view magnification, potency outcomes following robotic-assisted radical prostatectomy still challenge surgeons and patients due to its multifactorial etiology. Recent studies performed in our center have described that, in addition to the surgical technique, some important factors are associated with erectile dysfunction (ED) following robotic-assisted radical prostatectomy (RARP). These include preoperative Sexual Health Inventory for Men (SHIM) score, age, preoperative Gleason score, and Charlson Comorbidity Index (CCI). After performing 15,000 cases, in this article we described our current Robotic-assisted Radical Prostatectomy technique with details and considerations regarding the optimal approach to neurovascular bundle preservation.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382022000200212&tlng=enProstatic NeoplasmsRobotic Surgical ProceduresProstatectomy |
spellingShingle | Marcio Covas Moschovas Vipul Patel Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases International Brazilian Journal of Urology Prostatic Neoplasms Robotic Surgical Procedures Prostatectomy |
title | Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases |
title_full | Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases |
title_fullStr | Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases |
title_full_unstemmed | Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases |
title_short | Neurovascular bundle preservation in robotic-assisted radical prostatectomy: How I do it after 15.000 cases |
title_sort | neurovascular bundle preservation in robotic assisted radical prostatectomy how i do it after 15 000 cases |
topic | Prostatic Neoplasms Robotic Surgical Procedures Prostatectomy |
url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382022000200212&tlng=en |
work_keys_str_mv | AT marciocovasmoschovas neurovascularbundlepreservationinroboticassistedradicalprostatectomyhowidoitafter15000cases AT vipulpatel neurovascularbundlepreservationinroboticassistedradicalprostatectomyhowidoitafter15000cases |