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Adjunctive Measures and New Therapies to Optimize Early Return of Erectile Function

  • Nizar Boudiab
  • Usama Khater
  • Shirin Razdan
  • Sanjay Razdan
Chapter

Abstract

Even after the advent of nerve-sparing procedure a significant percent of patients still develop erectile dysfunction after radical prostatectomy [1]. Modifications in the surgical technique of robotic radical prostatectomy have aimed not only to spare the cavernous nerve but also to minimize any potential harm done from manipulation, traction, or thermal injury of the nerves in addition to sparing the microcirculation surrounding the prostate. The adjunctive measures to optimize early return of erectile function can be subdivided into intraoperative measures designed to optimize nerve preservation and minimize injury to the neurovascular structures surrounding the prostate, and postoperative penile rehabilitation to facilitate early return of erectile function.

Keywords

Prostatectomy Robotic Optimizing Erectile function Outcome Measures Amniotic membrane 

Supplementary material

Video 9.1

Nerve preservation judicious use of thermal energy with dHam wrap (MP4 199313 kb)

Video 9.2

Optimizing erectile function with accessory pudendal artery preservation and judicious use of thermal energy (MP4 75084 kb)

Video 9.3

First in the world use of amniotic membrane in robotic prostatectomy for early return of erections (MP4 116775 kb)

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Nizar Boudiab
    • 1
  • Usama Khater
    • 1
  • Shirin Razdan
    • 2
  • Sanjay Razdan
    • 1
  1. 1.International Robotic Prostatectomy InstituteUrology Center of Excellence at Jackson South HospitalMiamiUSA
  2. 2.University of Miami Miller School of MedicineMiamiUSA

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