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Prostatic fascia and recovery of sexual function after radical prostatectomy: Is it a “Veil of Aphrodite” or “Veil of mystery”!

Sexual dysfunction is one of the most controversial aspects associated with radical prostatectomy. Since Walsh's description of neurovascular bundle there have been number of articles describing various modification to the technique of bilateral nerve sparing to augment the recovery of sexual f...

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Autor principal: Mandhani, Anil
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684308/
https://www.ncbi.nlm.nih.gov/pubmed/19468450
http://dx.doi.org/10.4103/0970-1591.45558
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author Mandhani, Anil
author_facet Mandhani, Anil
author_sort Mandhani, Anil
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description Sexual dysfunction is one of the most controversial aspects associated with radical prostatectomy. Since Walsh's description of neurovascular bundle there have been number of articles describing various modification to the technique of bilateral nerve sparing to augment the recovery of sexual function. There is a very thin line between performing an ideal nerve sparing and giving equally good oncological outcome in terms of negative surgical margin. “Veil of Aphrodite” nerve sparing technique was conceptualized by Menon et al. Lately other related terms have emerged in the literature e.g., “high anterior release, “curtain dissection,” or “incremental nerve sparing. Does veil technique of radical prostatectomy help improve recovery of sexual function? Do mere presence of nerves in veil account for potency? Are these nerve parasympathetic? This short review tries to find the answer of these questions in contemporary world literature.
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spelling pubmed-26843082009-05-22 Prostatic fascia and recovery of sexual function after radical prostatectomy: Is it a “Veil of Aphrodite” or “Veil of mystery”! Mandhani, Anil Indian J Urol Evidence Based Urology Sexual dysfunction is one of the most controversial aspects associated with radical prostatectomy. Since Walsh's description of neurovascular bundle there have been number of articles describing various modification to the technique of bilateral nerve sparing to augment the recovery of sexual function. There is a very thin line between performing an ideal nerve sparing and giving equally good oncological outcome in terms of negative surgical margin. “Veil of Aphrodite” nerve sparing technique was conceptualized by Menon et al. Lately other related terms have emerged in the literature e.g., “high anterior release, “curtain dissection,” or “incremental nerve sparing. Does veil technique of radical prostatectomy help improve recovery of sexual function? Do mere presence of nerves in veil account for potency? Are these nerve parasympathetic? This short review tries to find the answer of these questions in contemporary world literature. Medknow Publications 2009 /pmc/articles/PMC2684308/ /pubmed/19468450 http://dx.doi.org/10.4103/0970-1591.45558 Text en © Indian Journal of Urology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Evidence Based Urology
Mandhani, Anil
Prostatic fascia and recovery of sexual function after radical prostatectomy: Is it a “Veil of Aphrodite” or “Veil of mystery”!
title Prostatic fascia and recovery of sexual function after radical prostatectomy: Is it a “Veil of Aphrodite” or “Veil of mystery”!
title_full Prostatic fascia and recovery of sexual function after radical prostatectomy: Is it a “Veil of Aphrodite” or “Veil of mystery”!
title_fullStr Prostatic fascia and recovery of sexual function after radical prostatectomy: Is it a “Veil of Aphrodite” or “Veil of mystery”!
title_full_unstemmed Prostatic fascia and recovery of sexual function after radical prostatectomy: Is it a “Veil of Aphrodite” or “Veil of mystery”!
title_short Prostatic fascia and recovery of sexual function after radical prostatectomy: Is it a “Veil of Aphrodite” or “Veil of mystery”!
title_sort prostatic fascia and recovery of sexual function after radical prostatectomy: is it a “veil of aphrodite” or “veil of mystery”!
topic Evidence Based Urology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684308/
https://www.ncbi.nlm.nih.gov/pubmed/19468450
http://dx.doi.org/10.4103/0970-1591.45558
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