Preserving the neurovascular bundle during radical robotic prostatectomy: Tips and tricks

Degirmenci E., Sanli O., Atug F.

UroPrecision, vol.4, no.1, pp.35-45, 2026 (Scopus) identifier

  • Publication Type: Article / Review
  • Volume: 4 Issue: 1
  • Publication Date: 2026
  • Doi Number: 10.1002/uro2.70050
  • Journal Name: UroPrecision
  • Journal Indexes: Scopus
  • Page Numbers: pp.35-45
  • Keywords: nerve-sparing, neurovascular bundle preservation, prostate cancer surgery, radical robotic prostatectomy
  • Istanbul University Affiliated: Yes

Abstract

Robot-assisted radical prostatectomy (RARP) has become the standard surgical approach for treating localized prostate cancer. A crucial component of RARP is nerve-sparing surgery (NSS), which significantly improves postoperative erectile function and urinary continence. The primary aim of NSS is to preserve the neurovascular bundles, but this must be balanced with oncological safety, particularly concerning the risk of positive surgical margins when extracapsular extension is present. This review aims to provide an overview of NSS techniques, based on the authors' clinical experience and perspective, while avoiding unnecessary technical overdetail.