Graefen M, Huland H
Urologische Klinik, Universitätskrankenhaus Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany.
Urologe A. 2004 Feb;43(2):156-9. doi: 10.1007/s00120-003-0525-y.
Open radical retropubic prostatectomy is the most popular operative technique for the treatment of clinically localized prostate cancer. Key elements to achieve convincing functional results are a sphincter-preserving ligation of the distal part of Santorini's plexus and the subtle preparation of the neurovascular bundle. This article gives a detailed description of our operative technique. Furthermore, a strategy for patient selection and tumor selection for the indication of a nerve-sparing radical prostatectomy is suggested.