Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Nerve-sparing open radical retropubic prostatectomy.

Thomas M Kessler1, Fiona C Burkhard, Urs E Studer

  • 1Department of Urology, University of Bern, Bern, Switzerland.

European Urology
|November 1, 2006
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Incidental Prostate Cancer Is an Uncommon but Clinically Non-negligible Cause of Death in Selected Long-term Survivors of Urothelial Carcinoma-Oncological Outcomes and a Proposed Follow-up Strategy from a Tertiary Referral Center.

European urology open science·2026
Same author

The 'FUTURE' of urodynamics in the management of female overactive bladder symptoms.

BJU international·2026
Same author

The Evidence-based Role of Urodynamics in Men with Lower Urinary Tract Symptoms Considering Prostate Surgery: An International Expert Consensus.

European urology focus·2026
Same author

RE: Comment: 'Male sex is a risk factor for detrusor pressure jeopardising the upper urinary tract in patients with spinal cord injury'.

BJU international·2025
Same author

Assessing sexual function in neurorehabilitation: insights and challenges from a spinal cord injury cohort.

The journal of sexual medicine·2025
Same author

Urodynamic testing in refractory overactive bladder symptoms: the FUTURE study.

Lancet (London, England)·2025

Nerve-sparing open radical prostatectomy significantly improves urinary continence. Attempting nerve sparing during prostate cancer surgery is crucial for better functional outcomes and patient quality of life.

Area of Science:

  • Urology
  • Surgical Oncology
  • Men's Health

Background:

  • Open radical prostatectomy techniques have advanced, emphasizing anatomical preservation.
  • Focus is increasing on the impact of surgical techniques on patient outcomes and quality of life.

Purpose of the Study:

  • To describe the technical aspects of nerve-sparing open radical retropubic prostatectomy (RRP).
  • To evaluate patient selection criteria and functional results, particularly postoperative urinary continence.

Main Methods:

  • Detailed description of nerve-sparing open RRP technique, including schematic drawings.
  • Analysis of patient selection and functional outcomes focusing on urinary continence.
  • Statistical analysis (logistic regression) to identify factors influencing continence.

Related Experiment Videos

Main Results:

  • Urinary incontinence rates were 1% (bilateral nerve-sparing), 3% (unilateral nerve-sparing), and 14% (no nerve-sparing attempted).
  • Attempted nerve sparing was the only statistically significant factor influencing urinary continence post-RRP (OR 4.77, p=0.0001).

Conclusions:

  • Nerve-sparing surgery significantly impacts erectile function and urinary continence.
  • Advocacy for a lateral surgical approach to enhance visualization and neurovascular bundle preservation.
  • Importance of specific techniques like managing Santorini's plexus and bladder neck reconstruction for optimal results.