Interpositional Nerve Grafting of the Prostatic Plexus after Radical Prostatectomy

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Interpositional Nerve Grafting of the Prostatic Plexus after Radical Prostatectomy

BACKGROUND Injury to the prostatic plexus may occur during radical prostatectomy even with the use of minimally invasive techniques. Reconstruction of these nerves by interpositional nerve grafting can be performed to reduce morbidity. Although the feasibility of nerve reconstruction has been shown, long-term functional outcomes are mixed, and the role of nerve grafting in these patients remain...

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Sural Nerve Interposition Grafting during Radical Prostatectomy.

In 1997, autologous sural nerve grafting to reconstruct bilaterally resected cavernosal nerves was successfully performed in patients undergoing radical retropubic prostatectomy. After 12 months, one third of these patients had erections sufficient for intercourse. Since that time, patients who have had neurovascular bundle resection and sural nerve grafting have continued to show promising res...

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Robotic Radical Prostatectomy and Nerve Grafting: Does it Actually Work?

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 [1]. With increasing numbers of younger men being diagnosed with prostate cancer and subsequent...

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Robotic Radical Prostatectomy and Nerve Grafting: Does it Actually Work?

Interposition nerve grafting offers a scaffold for orderly nerve regeneration and may elaborate neurotrophic agents that foster the restorative process [10]. Traditionally, autologous sural nerve has been the graft of choice and has been employed primarily during open radical prostatectomy [10]. However, sural nerve harvest is often associated with donor site morbidity and may be time inefficie...

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Patient-reported impotence and incontinence after nerve-sparing radical prostatectomy.

BACKGROUND The age-adjusted rate of radical prostatectomy, the most common treatment of early (nonmetastatic) prostate cancer, increased almost sixfold between 1984 and 1990. This increase was due in part to reported improvements in postoperative sexual potency after the use of newly developed "nerve-sparing" procedures. However, published estimates from physicians of impotence following variou...

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ژورنال

عنوان ژورنال: Plastic and Reconstructive Surgery - Global Open

سال: 2015

ISSN: 2169-7574

DOI: 10.1097/gox.0000000000000422