Management with Santorini’s Plexus Should Be Personalized during Prostatectomy

The aim of this study is to compare the results of laparoscopic prostatectomy in terms of management with Dorsal Venosus Complex (DVC)/Santorini’s plexus as it is still an open question in the field of urology. For this purpose, 457 patients after prostatectomy derived from two high volume centers w...

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Detalles Bibliográficos
Autores principales: Wilamowski, Jacek, Wojtarowicz, Mateusz, Adamowicz, Jan, Golab, Adam, Pozniak, Michal, Leminski, Artur, Kuffel, Blazej, Slojewski, Marcin, Drewa, Tomasz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9144390/
https://www.ncbi.nlm.nih.gov/pubmed/35629191
http://dx.doi.org/10.3390/jpm12050769
Descripción
Sumario:The aim of this study is to compare the results of laparoscopic prostatectomy in terms of management with Dorsal Venosus Complex (DVC)/Santorini’s plexus as it is still an open question in the field of urology. For this purpose, 457 patients after prostatectomy derived from two high volume centers were compared. In one center, patients underwent DVC ligation in all cases, whereas in the second center, this step was omitted. Subsequently, the histological and functional results were compared. Results showed that DVC management has an impact on blood loss and the duration of the surgery. In addition, omitting DVC ligation is demonstrated to reduce positive margin rate within the apex if the cancer was localized in this region. The continence and erectile function were similar in the 12-month follow up.

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