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Intermediate Technical IVT

nerve-sparing technique

Surgical approach preserving neurovascular bundles during prostatectomy to maintain erectile function and continence.

Full Definition

Nerve-sparing technique refers to surgical modifications during radical prostatectomy designed to preserve the cavernous nerves and neurovascular bundles responsible for erectile function and urinary continence. This approach involves careful dissection and preservation of nerve fibers running alongside the prostate while maintaining oncologic principles. The degree of nerve sparing (bilateral, unilateral, or none) depends on tumor characteristics, cancer risk, and patient factors. Successful nerve preservation can significantly improve quality of life outcomes while maintaining cancer control in appropriately selected patients.

Usage

Usage note: Specify bilateral, unilateral, or partial when documenting extent of preservation.

In Context

  • "Bilateral nerve-sparing technique was employed during the robotic prostatectomy." — Operative report
  • "The patient was counseled about nerve-sparing technique options and associated outcomes." — Preoperative consultation

Also known as

neurovascular bundle preservation cavernous nerve sparing

Contrasted with

wide excision non-nerve-sparing

Don't confuse with

capsular preservation bladder neck sparing

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