TITLE:
Cavernous Nerve Graft Reconstruction with a Novel Artificial Conduit during Robot-Assisted Laparoscopic Radical Prostatectomy
AUTHORS:
Yoshiyuki Matsui, Toshinari Yamasaki, Takahiro Inoue, Tomomi Kamba, Osamu Ogawa
KEYWORDS:
Robot-Assisted Laparoscopic Radical Prostatectomy (RALP), Nerbridge, Cavernous Nerve, Graft Reconstruction, Erectile Function
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.8,
August
18,
2015
ABSTRACT: The interposition sural nerve graft has
been attempted occasionally during radical prostatectomy for the recovery of
continence and erectile function; however, nerve autograft may result in
adverse events for the patient. Here, we present our initial experiences using
NerbridgeTM, a novel conduit for peripheral nerve regeneration, rather than
utilizing sural nerve grafting, in robot-assisted laparoscopic radical
prostatectomy to overcome autograft problems such as prolongation of operation
time and postoperative abnormal sensation. This novel artificial conduit
interposition can be technically feasible when combined with robotic surgery,
and prospective randomized controlled trials with high patients-numbers and
long follow-up periods are warranted.