Robotic radical prostatectomy is now the gold
standard for patients with localised prostate cancer. In the setting of
unfavourable prostate pathology, some men may require resection of one or both
cavernous nerves at the time of prostatectomy. Potency rates in this subset of
men are expectedly dismal.
With increasing numbers of younger men being
diagnosed with prostate cancer and subsequently undergoing radical prostatectomy, there is an increasing focus on quality of
life postoperatively, especially potency. Nerve-grafting surgery after
resection of neuro-vascular bundles during radical prostatectomy is one of the
promising resolutions for dilemma between cancer control and functional
preservation.
There have been a number of articles recently
on nerve grafting for robotic radical prostatectomy. We aim to review the
evidence for whether this actually works and gives a good degree of erectile
function.
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