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Nerve-sparing surgery is a type of surgery that attempts to save the nerves near the tissues being removed. [1]It is commonly applied in radical retropubic prostatectomy, a surgical treatment for prostate cancer, in which damage to nerves during surgery can lead to complications including urinary incontinence and impotence.
Surgical removal of the prostate contains an increased likelihood that patients will experience erectile dysfunction. Radical prostatectomy is associated with greater decrease in sexual function than external beam radiotherapy. Nerve-sparing surgery reduces the risk that patients will experience erectile dysfunction.
Nerve-sparing surgery—Select individuals will be eligible for nerve-sparing surgery. Nerve-sparing surgery attempts to protect the cavernous nerves of penis, which control erection. These nerves are very thin and fragile and run next to the prostate and may be destroyed during surgery, leading to impotence.
Patrick C. Walsh is an American urologist, researcher and writer, best known for developing "the anatomic approach to radical prostatectomy", involving nerve-sparing techniques which reduced the likelihood of impotence and urinary incontinence.
Rates for impotence when comparing radiation to nerve-sparing surgery are similar. Radiation has lower rates of incontinence compared with surgery, but has higher rates of occasional mild rectal bleeding. [33] Men who have undergone external beam radiation therapy may have a slightly higher risk of later developing colon cancer and bladder ...
Radical perineal prostatectomy is a surgical procedure wherein the entire prostate gland is removed through an incision in the area between the anus and the scrotum . [ 1 ] [ 2 ] It is used to remove early prostate cancer , in select people who have a small well defined cancer in the prostate.
Laparoscopic radical prostatectomy (LRP) is a form of radical prostatectomy, an operation for prostate cancer. Contrasted with the original open form of the surgery , it does not make a large incision but instead uses fiber optics and miniaturization.
The preservation of both neurovascular bundles during nerve-sparing (NS) radical prostatectomy improves urinary continence and erectile function. [2] Consequently, NS is recommended in elderly men and those with pre-existing erectile dysfunction, whom many surgeons would previously have only offered non-NS surgery.
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