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European Urology
Volume 49, issue 1, pages 1-208, January 2006Surgery in Motion
Open Retropubic Nerve-Sparing Radical Prostatectomy
Accepted 17 October 2005, Published online 18 November 2005, pages 38 - 48
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Abstract
Retropubic radical prostatectomy is the most commonly used therapeutic option for the treatment of clinically localized prostate cancer. An ongoing stage migration toward organ-confined cancers allows performance of a nerve-sparing procedure in a growing number of patients. Key elements for achieving convincing functional results are a sphincter-preserving ligation of the distal part of the Santorini plexus and the subtle preparation of the neurovascular bundle. This article gives a detailed description of the operative technique, which is demonstrated in the attached DVD. Furthermore, indication, oncologic outcome, and functional results addressing postoperative urinary continence and potency are discussed.
Keywords: Prostate cancer, Radical prostatectomy, Nerve-sparing.
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