Urology
Volume 69, Issue 3 , Pages 510-514 , March 2007

Significance of Neurovascular Bundle Formation Observed on Preoperative Magnetic Resonance Imaging Regarding Postoperative Erectile Function After Nerve-Sparing Radical Retropubic Prostatectomy

  • Sang Eun Lee
    • ,
  • Sung Kyu Hong

      Affiliations

    • Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
    • Corresponding Author InformationReprint requests: Sung Kyu Hong, M.D., Ph.D., Department of Urology, Seoul National University Bundang Hospital, 300, Gumi-dong, Bundang-gu, Seongnam, Kyunggi-do 463-707, Korea.
    • ,
  • June Hyun Han

      Affiliations

    • Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
    • ,
  • Byung Kyu Han

      Affiliations

    • Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
    • ,
  • Ji Hyung Yu

      Affiliations

    • Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
    • ,
  • Sung Jin Jeong

      Affiliations

    • Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
    • ,
  • Seok-Soo Byun

      Affiliations

    • Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea
    • ,
  • Hak Jong Lee

      Affiliations

    • Department of Radiology, Seoul National University Bundang Hospital, Seongnam, Korea

Received 1 July 2006 ,Accepted 16 November 2006.

References 

  1. Takenaka A, Murakami G, Soga H, et al. Anatomical analysis of the neurovascular bundle supplying penile cavernous tissue to ensure a reliable nerve graft after radical prostatectomy. J Urol. 2004;172:1032–1035
  2. Lunacek A, Schwentner C, Fritsch H, et al. Anatomical radical retropubic prostatectomy: “curtain dissection” of the neurovascular bundle. BJU Int. 2005;95:1226–1231
  3. Costello AJ, Brooks M, Cole OJ. Anatomical studies of the neurovascular bundle and cavernosal nerves. BJU Int. 2004;94:1071–1076
  4. Kiyoshima k, Yokomizo A, Yoshida T, et al. Anatomical features of periprostatic tissue and its surroundings: a histological analysis of 79 radical retropubic prostatectomy specimens. Jpn J Clin Oncol. 2004;34:463–468
  5. Myers RP, Cahill DR, Devine RM, et al. Anatomy of radical prostatectomy as defined by magnetic resonance imaging. J Urol. 1998;159:2148–2158
  6. Coakely FV, Hricak H. Radiologic anatomy of the prostate gland: a clinical approach. Radiol Clin North Am. 2000;38:15–30
  7. Coakley FV, Eberhardt S, Wei DC, et al. Blood loss during radical retropubic prostatectomy: relationship to morphologic features on preoperative endorectal magnetic resonance imaging. Urology. 2002;59:884–888
  8. Coakley FV, Eberhardt S, Kattan MW, et al. Urinary continence after radical retropubic prostatectomy: relationship with membranous urethral length on preoperative endorectal magnetic resonance imaging. J Urol. 2002;168:1032–1035
  9. McLaughlin PW, Troyer S, Berri S, et al. Functional anatomy of the prostate: implications for treatment planning. Int J Radiat Oncol Biol Phys. 2005;63:479–491
  10. Ogura K, Maekawa S, Okubo K, et al. Dynamic endorectal magnetic resonance imaging for local staging and detection of neurovascular bundle involvement of prostate cancer: correlation with histopathologic results. Urology. 2001;57:721–726
  11. Yu KK, Hricak H, Alagappan R, et al. Detection of extracapsular extension of prostate carcinoma with endorectal and phased-array coil MR imaging: multivariate feature analysis. Radiology. 1997;202:697–702
  12. Steiner MS. Current results and patient selection for nerve-sparing radical retropubic prostatectomy. Semin Urol Oncol. 1995;13:204–214
  13. Tempany CM, Rahmouni AD, Epstein JI, et al. Invasion of the neurovascular bundle by prostate cancer: evaluation with MR imaging. Radiology. 1991;181:107–112
  14. Hricak H, Wang L, Wei DC, et al. The role of preoperative endorectal magnetic resonance imaging in the decision regarding whether to preserve or resect neurovascular bundles during radical retropubic prostatectomy. Cancer. 2004;100:2655–2663
  15. Rosen RC, Cappelleri JC, Smith MD, et al. Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res. 1999;11:319–326
  16. Walsh PC, Mostwin JL. Radical prostatectomy and cystoprostatectomy with preservation of potency: results using a new nerve-sparing technique. Br J Urol. 1984;56:694–697
  17. Geary ES, Dendinger TE, Freiha FS, et al. Nerve sparing radical prostatectomy: a different view. J Urol. 1995;154:145–149
  18. Walsh PC, Donker PJ. Impotence following radical prostatectomy: insight into etiology and prevention. J Urol. 1982;128:492–497
  19. Menon M, Tewari A, Peabody J, et al. Vattikuti Institute prostatectomy: technique. J Urol. 2003;169:2289–2292
  20. Stolzenburg JU, Rabenalt R, Tannapfel A, et al. Intrafascial nerve-sparing endoscopic extraperitoneal radical prostatectomy. Urology. 2006;67:17–21

PII: S0090-4295(06)02523-4

doi: 10.1016/j.urology.2006.11.008

Urology
Volume 69, Issue 3 , Pages 510-514 , March 2007

Article Tools

* Image Usage & Resolution