ArticleBJU international2008
Modified technique for neurovascular bundle preservation during radical prostatectomy: association between technique and recovery of erectile function.
Article in BJU international, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 67 citations in OpenAlex.
- Penile vibratory stimulation in the recovery of urinary continence and erectile function after nerve-sparing radical prostatectomy: a randomized, controlled trial.BJU international · 2014Trial
- Penile vibratory stimulation as rehabilitation of erectile function following nerve-sparing radical prostatectomy: A quantitative pilot study.International journal of impotence research · 2026Article
- Next-Generation Nerve-Sparing Techniques in Robotic Radical Prostatectomy: A Contemporary Review.Current urology reports · 2025Review
- Relationships between erectile dysfunction, prostate cancer treatment type and inflatable penile prosthesis implantation.Investigative and clinical urology · 2022Article
- Different Nerve-Sparing Techniques during Radical Prostatectomy and Their Impact on Functional Outcomes.Cancers · 2022Review
- Have urinary function outcomes after radical prostatectomy improved over the past decade?Cancer · 2022Article
- Prevalence of post-prostatectomy erectile dysfunction and a review of the recommended therapeutic modalities.International journal of impotence research · 2021Review
- Low-intensity shockwave therapy for erectile dysfunction: is the evidence strong enough?Nature reviews. Urology · 2017Review
- Penile rehabilitation after radical prostatectomy: does it work?Translational andrology and urology · 2015Review
- Advances in Robotic-Assisted Radical Prostatectomy over Time.Prostate cancer · 2013Review
- Erectile dysfunction after radical prostatectomy: treatment options.Drugs & aging · 2011Review
- The role and structure of a postradical prostatectomy penile rehabilitation program.Current urology reports · 2009Review
- Penile rehabilitation following treatment for prostate cancer: an analysis of the current state of the art.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2009Article
- Predictive factors for return of erectile function in robotic radical prostatectomy: case series from a single centre.International journal of impotence researchArticle
- Surgical management of neurovascular bundle in uterine fibroid pseudocapsule.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo prospectively evaluate whether a modified surgical technique for neurovascular bundle (NVB) preservation during radical prostatectomy (RP) is associated with an improvement in erectile function (EF) recovery after RP. PATIENTS AND
methodsData from patients treated before technique modification was used to create a predictive model for EF at 6 months after RP using age, date of surgery, and nerve sparing (none vs unilateral vs bilateral) as predictors for patients who received the modified technique (MT) to estimate the expected outcomes had they received the standard technique (ST), and compared these with actual outcomes. In the MT, the neurovascular bundle (NVB) is completely mobilized off the prostate from the apex to above the seminal vesicles including incision of Denonvilliers' fascia before urethral division and mobilization of the prostate off the rectum.
resultsOf 372 patients with evaluable data, 275 (74%) underwent the ST from 1 January 2001 to 31 December 2004 and 97 (26%) underwent the MT from 1 January 2005 to 30 May 2006. Sixty-five of 97 patients (67%) receiving the MT had EF recovery at 6 months, whereas the expected probability of 6-month recovery of EF, had they received the ST, was 45%. The absolute improvement in EF recovery attributable to the MT was 22% (95% confidence interval 5-40%; P = 0.013).
conclusionsTechnical modifications to NVB preservation during RP were associated with improved rates of EF recovery.
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Registered trials
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