1. Nerve-sparing Radical Cystectomy: A New Technique
Richard E. Hautmann, Oliver Hautmann, Börn G. Volkmer, Stefan Hautmann 
European Urology Supplements 
Volume 9, Issue 3, Pages (April 2010)
DOI: /j.eursup
Copyright © 2010 European Association of Urology Terms and Conditions

2. Fig. 1
The radical cystectomy is begun as a standard nerve-sparing radical prostatectomy, with high release of the neurovascular bundles. Gentle traction is exerted on the balloon catheter to extrude the vesical neck. Denonvillier's fascia is opened with a short transverse incision over the ampullae of the vases and the base of the vesicles. After transection of vesicles and ampullae, an easy cleavage plane is developed between the trigone and catheter balloon anteriorly and the vesicles posteriorly until the cul-de-sac has been reached.
European Urology Supplements 2010 9, DOI: ( /j.eursup )
Copyright © 2010 European Association of Urology Terms and Conditions

3. Fig. 2
Standard dissection laterally to the prostatic fascia to free the neurovascular bundles from the prostate and the lateral surface of the seminal vesicles carries a high risk to ruin the erectile function by injuring these nerves.
European Urology Supplements 2010 9, DOI: ( /j.eursup )
Copyright © 2010 European Association of Urology Terms and Conditions