Hemostatic Hydrodissection of the Neurovascular Bundles during Robotic Assisted Laparoscopic Radical Prostatectomy - Safety & efficacy trial

Sijo J. Parekattil, Philipp Dahm, Johannes W. Vieweg

Research output: Contribution to journalConference articlepeer-review

2 Scopus citations

Abstract

Preservation of continence and potency after Robotic Assisted Laparoscopic Radical Prostatectomy (RALP) are two key outcome measures that patients consider when comparing different treatment options for localized prostate cancer. Ensuring that positive surgical margins are as low as possible provides oncologic control. Various techniques to optimize these outcomes have been employed. This study presents the early outcomes for Hemostatic Hydrodissection of the Neurovascular Bundles during 86 consecutive RALPs. Positive margin rates were 12.5% overall (9% for pT2 and 28.6% for pT3); continence at 6 months was 100%, at 3 months 90% and at 1 month 66%. In patients with no preoperative erectile dysfunction (preoperative SHIM of 25), 79% had return of erections sufficient for intercourse by 6 months. 2 of these patients were able to have intercourse 2 weeks after surgery. These preliminary findings appear promising.

Original languageEnglish (US)
Article number71611K
JournalProgress in Biomedical Optics and Imaging - Proceedings of SPIE
Volume7161
DOIs
StatePublished - Jun 8 2009
Externally publishedYes
EventPhotonic Therapeutics and Diagnostics V - San Jose, CA, United States
Duration: Jan 24 2009Jan 26 2009

Keywords

  • Hemostatic hydrodissection
  • Hydrodissection
  • Neurovascular bundles
  • Outcomes
  • Prostatectomy
  • Robotic

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