• UCLA Health
  • myUCLAhealth
  • School of Medicine
UCLA Urology

UCLA Urology

UCLA Urology
  • About Us
    • Chair's Welcome
    • Contact Us & Locations
    • Equity Diversity and Inclusion
    • Giving
    • Jobs
    • News and Events
    • Newsletters
    • Our History
    • The Men's Clinic at UCLA
    • UCLA Institute of Urologic Oncology
    • Webinars
  • Clinical Programs
    • Bladder Cancer
    • General Adult Urology
    • Kidney Cancer
    • Kidney Stones and Urinary Obstruction
    • Kidney Transplant Program
    • Male Urology
    • Minimally Invasive/Robotics Surgery
    • Pediatric Urology Program
    • Pelvic Medicine and Reconstruction
    • Prostate Cancer Program
    • Testicular Cancer
    • Urologic Oncology
    • Conditions Treated
  • Clinical Trials
    • Find a Doctor
    • Frequently Asked Questions (FAQ)
  • For Patients
    • COVID-19 Message to Our Patients
    • Get an Expert Second Opinion
    • Telemedicine Visits Available
    • Appointment Request
    • Contact Us & Locations
    • Clinical Updates
    • Patient Education
    • Patient Stories
    • Video Gallery
    • Webinars
    • Vital Signs Publications
    • Urology Portal
  • Research
    • Bladder Cancer Research
    • Kidney Cancer Research
    • Male Urology Research
    • Pediatric Urology Research
    • Prostate Cancer Research
    • SPORE In Prostate Cancer
    • Health Services Research
    • Faculty Publications
  • Education
    • Aerial Tour: Why Choose UCLA?
    • Housestaff Roster 2022-23
    • Fellowships
    • Residency
    • Medical Student Program
    • Underrepresented Resident Mentorship Program
  • For Healthcare Professionals
    • How to Refer a Patient
    • Physicians Updates & Clinical Updates
    • Events and CME Courses
    • eReferrals
  • Physician Directory
    • UCLA Faculty and Providers
    • Joint Appointments/Research Faculty
  • UCLA Health
  • myUCLAhealth
  • School of Medicine

UCLA Urology

Prostate Nerve-Sparing

  1. Home
  2. Prostate Nerve-Sparing

Prostate Nerve-Sparing

Share this
UCLA Institute of Urologic Oncology

Prostate Nerve-Sparing

A nerve-sparing radical prostatectomy is ultimately designed to preserve a man's sexual function. The success rate in preserving sexual potency is dependent on a few factors - a man's age, the quality of his erection prior to the surgery, and the surgeon's skill and experience in protecting and preserving the nerves during the Prostate nerve-sparing operation.
Nerve Sparing Prostatectomy >

In fact, it has been show that prostate nerve-sparing surgery is performed with tremendous variation. A recent study from Memorial Sloan Kettering showed that among 11 surgeons performing radical prostatectomy, 12-month sexual potency ranged from 8% to 50%, indicating that there is significant variation in technique and outcomes. Extending these findings beyond high volume academic centers suggests that men may receive suboptimal care.

The figures below are taken from three step-by-step guides that UCLA Urology faculty published to help other surgeons improve technique and outcomes. The figures demonstrates the landmarks for attaining the correct nerve sparing surgical plane and the equally important technique for minimizing trauma to the neurovascular bundle by avoiding stretch injury.

Nerve-sparing Technique Gallery (step-by-step guide)

1. SV Dissection 

1. SV dissection

1. SV Dissection 

2. Cut peel arteries

1. SV Dissection 

3. SV dissected Out

Defining Anterior Contour 

4. Defining anterior contour

Creating the Window 

5. Creating the window

Intrafascial Nervesparing 

6. Intrafascial nervesparing

Interfascial nerve-sparing higher risk 

7. Interfascial nerve-sparing higher risk

Suction counter-traction 

8. Suction counter-traction

R intermittent blunt dissection 

9. R intermittent blunt dissection

10. L intermittent blunt dissection 

10. L intermittent blunt dissection

11. R sharp dissection 

11. R sharp dissection

12. L vertical spread 

12. L vertical spread

13. lateral pedicle ligation. 

13. lateral pedicle ligation

Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest
UCLA Health hospitals ranked best hospitals by U.S. News & World Report
  • UCLA Health
  • Find a Doctor
  • School of Medicine
  • School of Nursing
  • UCLA Campus
  • Directory
  • Newsroom
  • Subscribe
  • Patient Stories
  • Giving
  • Careers
  • Volunteer
  • International Services
  • Privacy Practices
  • Nondiscrimination
  • Billing
  • Health Plans
  • Emergency
  • Report Broken Links
  • Terms of Use
  • 1-310-825-2631
  • Maps & Directions
  • Contact Us
  • Your Feedback
  • Report Misconduct
  • Get Social
  • Sitemap
Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest