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...

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Main Authors: Marcio Covas Moschovas, Vipul Patel
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
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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.
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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