Retrospective Concomitant Nonrandomized Comparison of "Touch" Cautery Versus Athermal Dissection of the Prostatic Vascular Pedicles and Neurovascular Bundles During Robot-assisted Radical Prostatectomy.

Journal: European urology
PMID:

Abstract

BACKGROUND: During robotic-assisted radical prostatectomy (RARP), the use of electrocautery near the neurovascular bundles (NVBs) frequently results in thermal injury to the cavernous nerves. The cut and "touch" monopolar cautery technique has been suggested to reduce desiccating thermal injury caused by bipolar energy when vessels are sealed.

Authors

  • Martin Hofmann
    Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA; Department of Urology, University of California, Irvine, CA, USA.
  • Erica Huang
    Department of Urology, University of California, Irvine, CA, USA.
  • Linda My Huynh
    Department of Urology, University of California, Irvine, CA, USA; MD/PhD Scholars Program, University of Nebraska Medical Center, Omaha, NE, USA.
  • Kamaljot Kaler
    Department of Urology, University of California, Irvine.
  • Simone Vernez
    Department of Urology, University of California, Irvine, CA, USA.
  • Adam Gordon
    Department of Urology, University of California, Irvine, CA, USA.
  • Blanca Morales
    Department of Urology, University of California, Irvine, CA, USA; University of California, San Francisco.
  • Douglas Skarecky
  • Thomas E Ahlering
    Department of Urology, University of California Irvine, Orange, CA, USA.