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Antegrade Robot-Assisted Radical Prostatectomy: Factors Impacting Potency Preservation

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Robotic Urology

Abstract

In the early 1980s, the presentation of an anatomical dissection of the neurovascular bundles (NVBs) described by Walsh and Donker is one of the most significant landmark findings in urology. Preservation of sexual function continues as a formidable quality of life issue with this surgery. However, how to maximize preservation of sexual function remains a controversial and heated topic largely casting anatomic preservation versus surgeon skill and technique versus surgical trauma/inflammation versus patient-related factors such as age, medical and psychological conditions, and others. In this chapter, we utilize a stepwise approach to examine our results in effort to identify and stratify factors for their relative impact in preserving sexual function.

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Author information

Authors and Affiliations

  1. Department of Urology, University of California Irvine, 333 City Blvd West, Suite 2100, RT 81, Orange, CA, 92868, USA

    Thomas E. Ahlering

  2. Department of Urology, The Royal Melbourne Hospital, Melbourne, VIC, Australia

    Anthony Costello

  3. Department of Urology, UC Irvine, Irvine, CA, USA

    Douglas Skarecky

Authors
  1. Thomas E. Ahlering
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  2. Anthony Costello
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  3. Douglas Skarecky
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Corresponding author

Correspondence to Thomas E. Ahlering .

Editor information

Editors and Affiliations

  1. Department of Urology, Kantonsspital Winterthur, Winterthur, Switzerland

    Hubert John

  2. Department of Urology, Karolinska Institutet, Stockholm, Sweden

    Peter Wiklund

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Ahlering, T.E., Costello, A., Skarecky, D. (2018). Antegrade Robot-Assisted Radical Prostatectomy: Factors Impacting Potency Preservation. In: John, H., Wiklund, P. (eds) Robotic Urology. Springer, Cham. https://doi.org/10.1007/978-3-319-65864-3_29

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  • DOI: https://doi.org/10.1007/978-3-319-65864-3_29

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65863-6

  • Online ISBN: 978-3-319-65864-3

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