In unilaterally positive biopsies of the prostate, a more aggressive contralateral nerve-sparing
approach is attractive.
Many commenters emphasized the importance of the surgeon's level of experience in performing a nerve-sparing
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.
Walsh developed the nerve-sparing
surgery that has significantly reduced incontinence and preserved potency in prostate cancer patients, and is author of the practical, highly readable Guide to Surviving Prostate Cancer.
That research includes: identifying nerves and blood vessels critical to female sexual response in order to create nerve-sparing
pelvic surgery; investigating new medications to treat female sexual dysfunction; and examining the impact of sexual abuse on response and relationships.
Another possibility is the introduction of nerve-sparing
prostatectomy in the 1980s.
surgery, pioneered by surgeon Patrick C.
If the nerve relationship to the prostate and other structures could be more accurately identified, then nerve-sparing
procedures could be more precisely performed.
12) Surgical data included type of surgery and nerve-sparing
Panel discusses changes in a man's sexual function after a bilateral nerve-sparing
radical prostatectomy and in those with LUTS/BPH
With the nerve-sparing
, open technique about 40 percent to 60 percent of men retain potency.
Then, after introducing the nerve-sparing
technique, he treated an additional 25 women.