Written by fabriziodalmoro2017-03-112017-09-14 Radical Prostatectomy For Robotic Radical Prostatectomy see this page. Anatomical Landmarks Bladder Neck Sparing Nerve Sparing “On Feb 13, 1981 Pieter Donker and I identified the location of the cavernous nerves in an infant cadaver. Our observation was very important, because we identified their location outside the prostate. At that time everyone believed that the nerves ran through the prostate because all men were impotent following surgery. We demonstrated that this was incorrect, but the next question was how to find these microscopic structures in the adult male pelvis during surgery. During a radical prostatectomy in October 1981 I noticed that the capsular arteries and veins of the prostate travelled in the same location as the cavernous nerves in the fetus. Based on these findings I speculated that the neurovascular bundle could be used intraoperatively and on April 26, 1982 I performed the first operation utilizing this concept. That patient is cancer free today having lived a normal life. For more information see Walsh PC. The discovery of the cavernous nerves and development of nerve sparing radical retropubic prostatectomy. J Urol 2007;177:1632-5. I hope this is helpful. ” Patrick Walsh (Original Drawing) The ‘Net’! Santorini’s Management – The Urethra Posterior Reconfiguration Rocco Stitch – Original Drawing by Francesco Rocco The situation at the end of prostatectomy! Pelvic Lymph Node Dissection Share this:TwitterFacebookLike this:Like Loading... Leave a Reply Cancel reply Enter your comment here... Please log in using one of these methods to post your comment: Email (required) (Address never made public) Name (required) Website You are commenting using your WordPress.com account. ( Log Out / Change ) You are commenting using your Google account. ( Log Out / Change ) You are commenting using your Twitter account. ( Log Out / Change ) You are commenting using your Facebook account. ( Log Out / Change ) Cancel Connecting to %s Notify me of new comments via email. Notify me of new posts via email.