Athermal early retrograde release of the neurovascular bundle during nerve-sparing robotic-assisted laparoscopic radical prostatectomy

2009 ◽  
Vol 3 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Geoffrey Coughlin ◽  
Pankaj P. Dangle ◽  
Kenneth J. Palmer ◽  
Srinivas Samevedi ◽  
Vipul R. Patel
Keyword(s):  
Radical Prostatectomy ◽  
Neurovascular Bundle ◽  
Laparoscopic Radical Prostatectomy ◽  
Nerve Sparing ◽  
Robotic Assisted

Nerve sparing can preserve orgasmic function in most men after robotic-assisted laparoscopic radical prostatectomy

2011 ◽  
Vol 109 (4) ◽  
pp. 596-602 ◽  
Author(s):  
Ashutosh Tewari ◽  
Sonal Grover ◽  
Prasanna Sooriakumaran ◽  
Abhishek Srivastava ◽  
Sandhya Rao ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Nerve Sparing ◽  
Robotic Assisted

Nomograms to predict 3-year biochemical recurrence after robotic-assisted laparoscopic radical prostatectomy based on preoperative and perioperative variables of 774 patients.

2011 ◽  
Vol 29 (7_suppl) ◽  
pp. 115-115
Author(s):  
P. Sooriakumaran ◽  
M. John ◽  
A. Srivastava ◽  
Y. El-Douaihy ◽  
S. Grover ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Biochemical Recurrence ◽  
Perineural Invasion ◽  
Clinical Stage ◽  
Surgical Margin ◽  
Margin Status ◽  
Laparoscopic Radical Prostatectomy ◽  
Nerve Sparing ◽  
Robotic Assisted ◽  
Psa Density

115 Background: Predictors of biochemical recurrence after robotic-assisted laparoscopic radical prostatectomy (RALP) are not well reported in the literature. We wanted to investigate preoperative predictors as well as the influence of nerve sparing and positive surgical margin status on 3-year biochemical recurrence. Methods: 774 patients with at least 3 year follow up had undergone RALP by a single surgeon at our institution. Biochemcial recurrence was defined as a postoperative PSA >0.2 ng/ml. Multivariable logistic regression models were used to develop the biochemical recurrence predictive nomograms: nomogram 1- age, BMI, PSA density, clinical stage, biopsy Gleason, percent positive cores, perineural invasion; nomogram 2- age, BMI, PSA density, clinical stage, biopsy Gleason, percent positive cores, perineural invasion, nerve sparing, positive surgical margins (none, unifocal, or multifocal). The predictive accuracy of the models was assessed in terms of discrimination and calibration. Results: Both nomograms discriminated well between patients that recurred and those that did not (bootstrap corrected c-indices of 0.766 and 0.806 for nomograms 1 and 2 respectively). Nomogram 1 was well calibrated, but nomogram 2 over- predicted the probability of biochemical recurrence in patients at >30% risk. Conclusions: Our nomogram based on age, BMI, PSA density, clinical stage, biopsy Gleason, percent positive cores, and perineural invasion on preoperative biopsy has a good predictive ability to differentiate between RALP-treated patients that biochemically recur by 3 years from those that do not. Adding nerve sparing and surgical margin status further improved discriminatory ability but at the expense of over-prediction for patients at high risk. These nomograms may be used to guide the use of nerve sparing and the management of positive margins in men undergoing RALP for clinically localized prostate cancer. No significant financial relationships to disclose.

1542 CAN NERVE SPARING PRESERVE ORGASMIC FUNCTION IN MEN FOLLOWING ROBOTIC ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY?

2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Sonal Grover ◽  
Abhishek Srivastava ◽  
Prasanna Sooriakumaran ◽  
Robert Leung ◽  
Darius A. Paduch ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Nerve Sparing ◽  
Robotic Assisted

MP93-06 TECHNICAL FACTORS PREVENTING FULL NERVE SPARING DURING ROBOTIC-ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY IN PATIENTS THAT ARE CANDIDATES FOR FULL NERVE SPARING

2017 ◽  
Vol 197 (4S) ◽  
Author(s):  
Hariharan Palayapalayam Ganapathi ◽  
Gabriel Ogaya-Pinies ◽  
Eduardo Hernandez ◽  
Travis Rogers ◽  
Tracey Woodlief ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Nerve Sparing ◽  
Robotic Assisted ◽  
Technical Factors

Landmarks for Consistent Nerve Sparing during Robotic-Assisted Laparoscopic Radical Prostatectomy

2008 ◽  
Vol 22 (8) ◽  
pp. 1565-1568 ◽  
Author(s):  
Alexander Berry ◽  
Fernando Korkes ◽  
Jim C. Hu
Keyword(s):  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Nerve Sparing ◽  
Robotic Assisted

V1540: Potassium-Titanyl-Phosphate (KTP) Laser Nerve-Sparing Laparoscopic Radical Prostatectomy: Effects on Cavernous Nerve Function in a Canine Model

2007 ◽  
Vol 177 (4S) ◽  
pp. 508-509
Author(s):  
Troy R. Gianduzzo ◽  
Jose R. Colombo ◽  
Georges-Pascal Haber ◽  
Kester Nahen ◽  
Cristina Magi-Galluzzi ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Canine Model ◽  
Laparoscopic Radical Prostatectomy ◽  
Potassium Titanyl Phosphate ◽  
Nerve Sparing ◽  
Ktp Laser ◽  
Nerve Function ◽  
Cavernous Nerve
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