Nerve sparing versus non-nerve sparing

Radical prostatectomy is the gold standard for surgical treatment of prostate cancer, having been revived and popularized by Walsh in the late 1970s and early 1980s.3 Since Walsh's landmark description of the local anatomy of the prostate gland in relation to the adjacent vasculature and neurovascular bundles, the surgical complication rate has dramatically decreased.4 With the introduction of the nerve-sparing radical retropubic approach, markedly reduced rates of postoperative incontinence and impotence have been achieved, making radical prostatectomy the most common treatment of localized prostate cancer offered to men younger than 70.5'6

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