Abstract
Functional and oncological outcomes following radical prostatectomy still remain a challenge for patients and surgeons due to their multifactorial etiology. Different techniques to optimize potency recovery have been described in the literature, and pelvic neuroanatomy understanding plays a fundamental role in enhancing cavernosal nerve preservation. However, the literature still lacks well-designed studies comparing the benefits of one technique over the others. However, basic concepts for nerve-sparing are common to all radical prostatectomy (RP) techniques, such as minimizing the amount of traction used on dissection, avoiding excessive cautery (energy) during hemostasis, and neural preservation based on anatomical landmarks (arteries and planes of dissection). After 15,000 robotic-assisted radical prostatectomies, our surgical technique is continuously evolving. In this chapter, we will describe details of our most recent technique.
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