Study results on nerve sparing technique in RP

[petabyte]

I just saw this.

A more precise form of prostate cancer surgery nearly doubles the chances of men retaining erectile function afterwards compared with standard surgery, according to the first comprehensive trial of the procedure.

theguardian.com/society/202...

Link to the study results in the Lancet

thelancet.com/journals/lano...

[Tall_Allen]

This isn't new. Taking frozen sections with a pathologist standing by has been done by some surgeons for at least 10 years. Retzius-sparing is the trend currently. I hope you talked to a radiation oncologist as well.

[Don717 in reply to Tall_Allen]

Don't panic TA...OP already had RT/Treatment.

[Tall_Allen]

ChatGPT isn't a good way to come to a decision - talking to experts is. Will you go through the AI link and figure out what is wrong and what is right?

[MarkS]

The latest RT rates of full erectile function with IMRT are 70% after 2 years and 66% after 5 years: academic.oup.com/jsm/articl...

This compares with 23% who had standard surgery and 39% who had neurosafe. So if you want to retain erectile function, the answer is pretty obvious.

[davcarv in reply to MarkS]

I was of the understanding that the rates of ED overtime are pretty much equal for either. The difference being ed occurs immediately for RP and eventually for RT.

But at the end of the day similar reaults.

Am I mistaken ?

[MarkS in reply to davcarv]

They used to be similar, but over the last ten years, new RT methods such as IMRT and VMAT which are accurate to 1 mm precision have changed the game.

[davcarv in reply to MarkS]

So unless i’m wrong I believe the treatment standard continues to be whole gland.

Seems to me that all structures would be impacted especially the nerve bundles.

I would love it if medical establishment was doing focal RO if they are I’ve not seen it.

[Teufelshunde]

Rates vary greatly by doctor. Ask your doctor what his rates are. If he does not know them precisely when asked, run! I remember my wife and I asked the doc at U Chicago that my urologist recommended (over his own practice). He knew them each (erectile function and urinary issues) for two different time periods. Never had either issue. He also put me on daily low dose ED drug and still on 5 years later. And of course, the UC physical therapist BEFORE surgery for kegels, etc. To me the general stats are meaningless.