Current Status of Laparoscopic and Robot-assisted Nerve-sparing Radical Cystectomy in Male Patients

Overview

Journal Asian J Urol

Specialty Urology

Date 2017 Dec 22

PMID 29264183

Citations 1

Authors

Jian Huang

Xinxiang Fan

Wen Dong

Affiliations

Soon will be listed here.

Abstract

During radical cystectomy (RC), the neurovascular bundles are easily removed or damaged, leading to varying rates of incontinence and erectile dysfunction. The nerve-sparing technique was developed to preserve urinary and erectile function. The adoption of laparoscopic and robot-assisted technology has improved visualization and dexterity of pelvic surgeries, thus facilitate the nerve-sparing technique. Although nerve-sparing RC is technically similar with nerve-sparing radical prostatectomy, there are still some anatomical differences. There are mainly three different types of nerve-sparing techniques. Pelvic lymph node dissection (PLND) is another important factor to influence erectile function and urinary continence. Nerve-sparing laparoscopic radical cystectomy (LRC) and robot-assisted radical cystectomy (RARC) may be an optimal treatment choice in well-selected younger patients with low-volume, organ-confined disease. We should attempt to do, whenever possible, a nerve-sparing cystectomy at least on oneside. However, due to the need of a well-refined surgical technique, nerve-sparing LRC and RARC is now being performed only by experienced urological surgeons.

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PMID: 29264176 PMC: 5730829. DOI: 10.1016/j.ajur.2016.05.005.

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