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Techniques and Potency Outcomes for Nerve-Sparing RARP

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Robotic Urologic Surgery

Abstract

Since the first radical prostatectomy (RP) was performed in the 1900s, multiple authors had described poor functional outcomes due to the limited knowledge of prostate anatomy. However, this scenario changed at the beginning of the 1980s, when Walsh and Donker described the first report of RP with the nerve-sparing technique. The surgical technique innovation was a landmark study for patients and surgeons due to the significant improvement in the potency outcomes following RP. In 2000, Binder and Kramer described the first robotic-assisted radical prostatectomy (RARP) using an NS technique combining the Walsh retrograde approach with Campbell’s anterograde procedure. Since then, several groups have reported different techniques and results for the robotic approach to RP. This chapter will describe these NS techniques and anatomical considerations to optimize potency outcomes in patients undergoing RARP.

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Author information

Authors and Affiliations

  1. AdventHealth Global Robotics Institute, Celebration, FL, USA

    Marcio Covas Moschovas, Jonathan Noël & Vipul Patel

  2. University of Central Florida, (UCF), Orlando, USA

    Marcio Covas Moschovas & Vipul Patel

  3. Henry Ford West Bloomfield Hospital, West Bloomfield Township, MI, USA

    Mani Menon

Authors
  1. Marcio Covas Moschovas
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  2. Mani Menon
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  3. Jonathan Noël
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  4. Vipul Patel
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Editor information

Editors and Affiliations

  1. Department of Urology, Icahn School of Medicine at Mount Sinai, New York, USA

    Peter Wiklund

  2. Department of Urology, ORSI Academy, Aalst, Belgium

    Alexandre Mottrie

  3. Pediatric Urology, University of Chicago Medicine and Biological Sciences, Chicago, IL, USA

    Mohan S Gundeti

  4. Urology, Global Robotics Institute, Celebration, FL, USA

    Vipul Patel

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Moschovas, M.C., Menon, M., Noël, J., Patel, V. (2022). Techniques and Potency Outcomes for Nerve-Sparing RARP. In: Wiklund, P., Mottrie, A., Gundeti, M.S., Patel, V. (eds) Robotic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-00363-9_15

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  • DOI: https://doi.org/10.1007/978-3-031-00363-9_15

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