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February 12, 2026UroPrecision1 citationsOpen Access

Preserving the neurovascular bundle during radical robotic prostatectomy: Tips and tricks

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EDEnes DegirmenciOSOner SanliFAFatih AtuğIstanbul Florence Nightingale Hospital

Key Points

  • To overview techniques for nerve-sparing surgery in robotic prostatectomy while ensuring cancer safety.
  • Review of surgical techniques for nerve-sparing surgery based on clinical experience.
  • Discussion of oncological safety measures during nerve preservation.
  • Analysis of potential risks associated with preserving neurovascular bundles.
  • Nerve-sparing surgery significantly improves postoperative erectile and urinary function.
  • Preserving neurovascular bundles balances with the need to avoid positive surgical margins.
  • Successful implementation of techniques varies based on risk factors like extracapsular extension.

Abstract

Abstract Robot‐assisted radical prostatectomy (RARP) has become the standard surgical approach for treating localized prostate cancer. A crucial component of RARP is nerve‐sparing surgery (NSS), which significantly improves postoperative erectile function and urinary continence. The primary aim of NSS is to preserve the neurovascular bundles, but this must be balanced with oncological safety, particularly concerning the risk of positive surgical margins when extracapsular extension is present. This review aims to provide an overview of NSS techniques, based on the authors' clinical experience and perspective, while avoiding unnecessary technical overdetail.

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Cite This Study

Degirmenci et al. (2026) studied this question.

synapsesocial.com/papers/698d6d9f5be6419ac0d52a00https://doi.org/10.1002/uro2.70050
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