But laparoscopic retroperitoneal nerve-sparing
surgery should be performed only by skilled neuroanatomy surgeons at referral centers because of the complex nature of the procedure, he noted.
was performed in 241/400 patients (60.
The continence rates were found to be statistically significantly higher in patients who underwent nerve-sparing
surgery and in patients treated with classical intrafascial and fascia-preserving intrafascial techniques (p<0.
Many commenters emphasized the importance of the surgeon's level of experience in performing a nerve-sparing
Since the robotic arms give the surgeon superior precision, this nerve-sparing
operation has high rates of bladder control and potency retention.
There were no significant differences among the groups in bilateral nerve-sparing
(90% overall), open conversion (2% overall), and positive margins (17% overall).
pioneer of the nerve-sparing
prostatectomy procedure and one of the country's leading experts on the disease (see Dr.
13) This same study found improvement in all parameters at 1 year after nerve-sparing
Men undergoing nerve-sparing
prostatectomy experienced fewer effects on sexual function, although urinary incontinence was often seen after the surgery.
Five small, nerve-sparing
incisions are made to perform the complex surgeries.
Patrick Walsh, who is acknowledged as the world's foremost authority on prostate cancer and is the inventor of the revolutionary, nerve-sparing
surgical technique in which the prostate is removed, but potency and continence are preserved.
Although our sample included fairly large numbers of men who bad newer treatments designed to preserve erectile function--such as bilateral nerve-sparing
prostatectomy, radioactive seed implantation, or various types of computer-enhanced radiation therapy--there was little evidence that they had more satisfying results.