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Open versus Laparoscopic Radical Prostatectomy

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Presentation on theme: "Open versus Laparoscopic Radical Prostatectomy"— Presentation transcript:

1 Open versus Laparoscopic Radical Prostatectomy
G. Janetschek, F. Montorsi  European Urology Supplements  Volume 5, Issue 3, Pages (April 2006) DOI: /j.eursup Copyright © Terms and Conditions

2 Fig. 1 Running suture to pull together the superficial vein branches of the Santorini plexus. European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © Terms and Conditions

3 Fig. 2 Division of the Santorini plexus.
European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © Terms and Conditions

4 Fig. 3 Anterior wall of the rectum is reflected inferiorly. The large rectal veins can be seen exiting the neurovascular bundles just proximal to the level of the prostatic apex, coursing posteriorly to drain the rectum. A capsular vessel and nerve of the prostate can be seen descending along the posterior aspect of the prostate in the midline. European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © Terms and Conditions

5 Fig. 4 Cage-like embedding of the seminal vesicles (SVs) by the pelvic plexus. The caudal aspects of the pelvic plexus (red asterisks) encase the seminal vesicles. After benign prostatic hyperplasia has developed, the cavernosal nerves (green asterisks) are completely dispersed along the lateral aspect of the enlarged prostate (P). B=urinary bladder; U=right ureter. European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © Terms and Conditions

6 Fig. 5 Seminal vesicle-sparing prostatectomy (B) versus non–seminal vesicle-sparing prostatectomy (A). European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © Terms and Conditions

7 Fig. 6 Urinary control after radical prostatectomy: comparison between the open and laparoscopic approach. European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © Terms and Conditions

8 Fig. 7 Comparable outcomes for retropubic and laparoscopic radical prostatectomy with respect to potency rates. European Urology Supplements 2006 5, DOI: ( /j.eursup ) Copyright © Terms and Conditions


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