Technical aspects of nerve sparing during retropubic prostatectomy

被引:1
作者
Walz, J.
Graefen, M.
Michl, U. H. G.
Heinzer, H.
Friedrich, M. G.
Eichelberg, C.
Haese, A.
Huland, H.
机构
[1] Univ Med Ctr Eppendorf, Dept Urol, D-20246 Hamburg, Germany
[2] Univ Med Ctr Eppendorf, Prostate Canc Ctr, Martini Clin, D-20246 Hamburg, Germany
关键词
prostate cancer; radical prostatectomy; nerve-sparing;
D O I
10.1016/j.anuro.2006.12.002
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Retropubic radical prostatectomy is the most commonly used therapeutic option for the treatment of clinically localized prostate cancer. An ongoing stage migration towards organ-confined cancers allows performing 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 Santorini's plexus and the subtle preparation of the neurovascular bundle. This article gives a detailed description of the operative technique. Furthermore, a strategy for patient selection and tumour selection for the indication of nerve-sparing radical prostatectomy (NSRP) is suggested. (c) 2006 Elsevier Masson SAS. Tous droits reserves.
引用
收藏
页码:23 / 30
页数:8
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