Antegrade Robot-Assisted Radical Prostatectomy: Factors Impacting Potency Preservation

  • Thomas E. AhleringEmail author
  • Anthony Costello
  • Douglas Skarecky


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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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Thomas E. Ahlering
    • 1
    Email author
  • Anthony Costello
    • 2
  • Douglas Skarecky
    • 3
  1. 1.Department of UrologyUniversity of California IrvineOrangeUSA
  2. 2.Department of UrologyThe Royal Melbourne HospitalMelbourneAustralia
  3. 3.Department of UrologyUC IrvineIrvineUSA

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