Review Article
Advances in Robotic-Assisted Radical Prostatectomy over Time
Table 4
Neurovascular bundle sparing.
| Veil of Aphrodite | Menon et al. [41] | VIP with veil nerve sparing has comparable outcomes to traditional RALP. | Menon et al. [45] | VIP had improved erectile function compared to RALP. |
|
Athermal dissection | Tewari et al. [52] | Neural hammock sparing improves return to baseline erectile function without affecting other outcomes. | Khan et al. [57] | Heat sink demonstrated in this porcine model suggests that the vascular pedicle should be protective of the NVB. | Ahlering et al. [58] | Avoiding thermal injury leads to earlier return of sexual function. | Chien et al. [59] | Antegrade athermal dissection may lead to earlier return of erectile function. |
| Tension-free | Kowalczyk et al. [53] | Avoidance of countertraction on the NVB leads to earlier return of erectile function. | Mattei et al. [55] | This lateral approach to the NVB is tension-free and athermal. |
|
|