False. You can have a radial prostatectomy with nerve sparing. Radical includes prostate, seminal vesicles and surrounding tissue.
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- Thread starter wildbill1973z28
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False. You can have a radial prostatectomy with nerve sparing. Radical includes prostate, seminal vesicles and surrounding tissue.
And the nerve bundles lie in the surrounding tissue....
looks like we have a pissing contest going on now.
Be glad you still can!
Picture below is taken from:
https://urology.ufl.edu/patient-car.../robotic-nerve-sparing-radical-prostatectomy/
Are the nerve bundles lying in tissue or are they attached to the prostate?
[Broken External Image]:
http://www.urology.uci.edu/prostate/Potency_info.html
Nerve-sparing Technique
A “nerve-sparing” procedure involves dissecting the nerve bundle off of the side of the prostate. This is one of the most delicate steps of your surgery. What once was a nebulous and difficult part of the procedure is now technically feasible and less traumatizing with the robot. While robotic-assistance does offer enhanced visualization of the neurovascular bundles and increased surgical precision, it does not make up for sloppy technique. Even with perfect technique, moving the nerves from their natural location on the side of the prostate will likely cause some nerve dysfunction or damage which can range from mild to severe. Our research has led us to several key findings to help minimize nerve injury: 1) thermal energy (cautery, heat) should be avoided or at least minimized, 2) nerve traction (stretching) should be avoided, and 3) dissection of the nerves causes inflammation which can be reduced with hypothermia (cooling) (Finley et al Urology, 2009; also for more detail, see Chapter 10 - Latest Advances).
Depending on what they find a surgeon can absolutely do a radical prostatectomy and leave the nerves.
Picture below is taken from:
https://urology.ufl.edu/patient-car.../robotic-nerve-sparing-radical-prostatectomy/
Are the nerve bundles lying in tissue or are they attached to the prostate?
[Broken External Image]:
http://www.urology.uci.edu/prostate/Potency_info.html
Nerve-sparing Technique
A “nerve-sparing” procedure involves dissecting the nerve bundle off of the side of the prostate. This is one of the most delicate steps of your surgery. What once was a nebulous and difficult part of the procedure is now technically feasible and less traumatizing with the robot. While robotic-assistance does offer enhanced visualization of the neurovascular bundles and increased surgical precision, it does not make up for sloppy technique. Even with perfect technique, moving the nerves from their natural location on the side of the prostate will likely cause some nerve dysfunction or damage which can range from mild to severe. Our research has led us to several key findings to help minimize nerve injury: 1) thermal energy (cautery, heat) should be avoided or at least minimized, 2) nerve traction (stretching) should be avoided, and 3) dissection of the nerves causes inflammation which can be reduced with hypothermia (cooling) (Finley et al Urology, 2009; also for more detail, see Chapter 10 - Latest Advances).
Depending on what they find a surgeon can absolutely do a radical prostatectomy and leave the nerves.
Fair statement if the nerve bundle is not involved with the tumor..
Should not even bring pissin into this conversation shame on you I can barely piss! on my feet now!
Use the lil white porcelain bowl... 
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Makes no difference what you do or how long you have been doing it there is always a keyboard jockey that knows more.
Sorry for your problem op I hope you can find a solution and I'm not meaning to derail the thread.
