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.
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