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March 2, 2007

Neuroanatomic Maps For Nerve Sparing Robotic Prostatectomy: Study Describing Importance Of The Neurovascular Plate And Its Relationship To The Steps O

UroToday.com - The landmark work of Walsh and Donker now more than two decades ago provided the anatomical framework for development of nerve sparing radical prostate surgery. With the widespread use and acceptance of laparoscopic and robotic approaches to the patient with prostate cancer, appreciation of laparoscopic presentation of the cavernous nerves is needed.

The investigators in this report developed a cavernous nerve map for the laparoscopic/robotic surgeon using the data obtained from 3 fresh, 10 fixed cadavers and more than 100 nerve sparing robotic prostatectomies. They combined the information and created a 3-D reconstruction and digital video as a teaching tool to facilitate nerve sparing during robotic prostatectomies.

A 3-D simulation is now available to help appreciate the spatial relationships of the cavernous nerves, prostate and bladder neck.

AUA 2006 - Abstract # 1155 Tewari et al.

Reviewed by UroToday.com Contributing Editor Gerry Brock, MD

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