HYDRODISSECTION FOR PRESERVATION OF NEUROVASCULAR BUNDLE DURING RADICAL PROSTATECTOMY

Nerve-sparing radical prostatectomy is one of the high-tech operations in urology, and the challenge of the surgeon is not only to remove the prostate tumor, but also to provide a high quality of life. The fact that most questions devoted from patients in a conversation with the surgeon before the o...

Full description

Saved in:
Bibliographic Details
Main Authors: H. S. Gevorgyan, A. A. Kostin, N. V. Vorobyev, P. V. Shegai
Format: Article
Language:Russian
Published: QUASAR, LLC 2016-12-01
Series:Исследования и практика в медицине
Subjects:
Online Access:https://www.rpmj.ru/rpmj/article/view/162
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841524346651148288
author H. S. Gevorgyan
A. A. Kostin
N. V. Vorobyev
P. V. Shegai
author_facet H. S. Gevorgyan
A. A. Kostin
N. V. Vorobyev
P. V. Shegai
author_sort H. S. Gevorgyan
collection DOAJ
description Nerve-sparing radical prostatectomy is one of the high-tech operations in urology, and the challenge of the surgeon is not only to remove the prostate tumor, but also to provide a high quality of life. The fact that most questions devoted from patients in a conversation with the surgeon before the operation are devoted to this issue, shows the importance and relevance. At present, the diagnostic methods allow significantly more likely to detect early  prostate cancer, making finding and treatment of these patients more affordable and allows to apply this operation.Lately, it seems urgent to explore the possibility of water jet dissection in the field of urology, in particular, for nerve-sparing prostatectomy. Preservation of erectile function depends largely on the quality of separating the neurovascular bundle. Standard use of electrocautery is associated with damage to the neurovascular bundle.  When performing operations using water-jet mobilization of prostate the selective dissection of tissue is performed. This avoids injury of neurovascular bundle and further postoperative complications. The use of this technique may allow the surgeon to provide a more accurate mobilization prostate and selectively controlled intersection vessels heading to the prostate from the neurovascular bundle, reduce intraoperative blood loss,  maintaining continence, erectile function.This literature review is considered by the experience of using nerve-sparing radical prostatectomy using a water-jet dissector, estimated intraoperative parameters using this method.However, we have the lack of extensive research capabilities of this technique when performing nerve-preserving radical prostatectomy, that does not allow to make a comprehensive presentation on the benefits of this technique and its effects on erectile function and quality of urination, further study of this issue in such a difficult category of patients.
format Article
id doaj-art-571969b723a740a29e95b8e709f18920
institution Kabale University
issn 2410-1893
language Russian
publishDate 2016-12-01
publisher QUASAR, LLC
record_format Article
series Исследования и практика в медицине
spelling doaj-art-571969b723a740a29e95b8e709f189202025-02-03T07:12:16ZrusQUASAR, LLCИсследования и практика в медицине2410-18932016-12-0134445110.17709/2409-2231-2016-3-4-5124HYDRODISSECTION FOR PRESERVATION OF NEUROVASCULAR BUNDLE DURING RADICAL PROSTATECTOMYH. S. Gevorgyan0A. A. Kostin1N. V. Vorobyev2P. V. Shegai3P. Hertsen Moscow Oncology Research Institute, Branch of the National Medical Research Radiological CentreP. Hertsen Moscow Oncology Research Institute, Branch of the National Medical Research Radiological CentreP. Hertsen Moscow Oncology Research Institute, Branch of the National Medical Research Radiological CentreP. Hertsen Moscow Oncology Research Institute, Branch of the National Medical Research Radiological CentreNerve-sparing radical prostatectomy is one of the high-tech operations in urology, and the challenge of the surgeon is not only to remove the prostate tumor, but also to provide a high quality of life. The fact that most questions devoted from patients in a conversation with the surgeon before the operation are devoted to this issue, shows the importance and relevance. At present, the diagnostic methods allow significantly more likely to detect early  prostate cancer, making finding and treatment of these patients more affordable and allows to apply this operation.Lately, it seems urgent to explore the possibility of water jet dissection in the field of urology, in particular, for nerve-sparing prostatectomy. Preservation of erectile function depends largely on the quality of separating the neurovascular bundle. Standard use of electrocautery is associated with damage to the neurovascular bundle.  When performing operations using water-jet mobilization of prostate the selective dissection of tissue is performed. This avoids injury of neurovascular bundle and further postoperative complications. The use of this technique may allow the surgeon to provide a more accurate mobilization prostate and selectively controlled intersection vessels heading to the prostate from the neurovascular bundle, reduce intraoperative blood loss,  maintaining continence, erectile function.This literature review is considered by the experience of using nerve-sparing radical prostatectomy using a water-jet dissector, estimated intraoperative parameters using this method.However, we have the lack of extensive research capabilities of this technique when performing nerve-preserving radical prostatectomy, that does not allow to make a comprehensive presentation on the benefits of this technique and its effects on erectile function and quality of urination, further study of this issue in such a difficult category of patients.https://www.rpmj.ru/rpmj/article/view/162hydrodissectionprostate cancerneurovascular bundleradical prostatectomywater-jet
spellingShingle H. S. Gevorgyan
A. A. Kostin
N. V. Vorobyev
P. V. Shegai
HYDRODISSECTION FOR PRESERVATION OF NEUROVASCULAR BUNDLE DURING RADICAL PROSTATECTOMY
Исследования и практика в медицине
hydrodissection
prostate cancer
neurovascular bundle
radical prostatectomy
water-jet
title HYDRODISSECTION FOR PRESERVATION OF NEUROVASCULAR BUNDLE DURING RADICAL PROSTATECTOMY
title_full HYDRODISSECTION FOR PRESERVATION OF NEUROVASCULAR BUNDLE DURING RADICAL PROSTATECTOMY
title_fullStr HYDRODISSECTION FOR PRESERVATION OF NEUROVASCULAR BUNDLE DURING RADICAL PROSTATECTOMY
title_full_unstemmed HYDRODISSECTION FOR PRESERVATION OF NEUROVASCULAR BUNDLE DURING RADICAL PROSTATECTOMY
title_short HYDRODISSECTION FOR PRESERVATION OF NEUROVASCULAR BUNDLE DURING RADICAL PROSTATECTOMY
title_sort hydrodissection for preservation of neurovascular bundle during radical prostatectomy
topic hydrodissection
prostate cancer
neurovascular bundle
radical prostatectomy
water-jet
url https://www.rpmj.ru/rpmj/article/view/162
work_keys_str_mv AT hsgevorgyan hydrodissectionforpreservationofneurovascularbundleduringradicalprostatectomy
AT aakostin hydrodissectionforpreservationofneurovascularbundleduringradicalprostatectomy
AT nvvorobyev hydrodissectionforpreservationofneurovascularbundleduringradicalprostatectomy
AT pvshegai hydrodissectionforpreservationofneurovascularbundleduringradicalprostatectomy