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Retrograde Nerve-Sparing (NS) Laparoscopic Radical Prostatectomy (LRP): Technical Aspects and Early Results  Jens J. Rassweiler, Marto Sugiono, Marcel.

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Presentation on theme: "Retrograde Nerve-Sparing (NS) Laparoscopic Radical Prostatectomy (LRP): Technical Aspects and Early Results  Jens J. Rassweiler, Marto Sugiono, Marcel."— Presentation transcript:

1 Retrograde Nerve-Sparing (NS) Laparoscopic Radical Prostatectomy (LRP): Technical Aspects and Early Results  Jens J. Rassweiler, Marto Sugiono, Marcel Hruza, Ahmet Tefekli, Christian Stock, Dogu Teber  European Urology Supplements  Volume 5, Issue 19, Pages (November 2006) DOI: /j.eursup Copyright © 2006 European Association of Urology Terms and Conditions

2 Fig. 1 (A) Detaching NVB from apex of prostate. (B) Interfascial dissection between levator and prostatic fascia. (C) Clipping of small vessels medial to the right NVB. European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © 2006 European Association of Urology Terms and Conditions

3 Fig. 2 Ligation of right prostate pedicle.
European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © 2006 European Association of Urology Terms and Conditions

4 Fig. 3 (A) Anterior retraction of the prostate reveals course of right NVB. (B) Course of NVBs after prostate entrapment. European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © 2006 European Association of Urology Terms and Conditions

5 Fig. 4 Changes in frequency of the nerve-sparing approach (n=1500).
European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © 2006 European Association of Urology Terms and Conditions

6 Fig. 5 Proportion of clinically localised (T1+T2) versus locally advanced (T3+T4) tumours (n=1500). European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © 2006 European Association of Urology Terms and Conditions

7 Fig. 6 Distribution of pathologically confirmed localised (pT2) versus locally advanced (pT3–T4) tumours with time (n=1500). European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © 2006 European Association of Urology Terms and Conditions

8 Fig. 7 Overall positive margin status with increasing experience (n=1500). European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © 2006 European Association of Urology Terms and Conditions

9 Fig. 8 Percentage of patients of all ages after non-NS, unilateral NS, or bilateral NS procedures who were able to have penetrative intercourse when using different erectile aids. NS=nerve-sparing; +/−=with or without; PDE5=phosphodiesterase type 5; Inh=inhibitor. European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © 2006 European Association of Urology Terms and Conditions


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