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Urethral complex Sparing. DVC oversew. R Acc Pudendal.mpg Urethral complex Sparing. DVC oversew. R Acc Pudendal.mpg
Posted by: declanjpcahill

Video duration: 57 seconds

This patient was potent and continent immediately. Right NVB excised. Right Accessory pudendal spared. Left NVB spared. On the left the endopelvic fascia is not opened. It is continuous with the urethral fascia. There is no lateral urethral dissection.


RALRP Guy\ RALRP Guy's Bordeaux.m2v
Posted by: declanjpcahill

Video duration: 650 seconds

Guy's Hospital Bordeaux Robotic radical prostatectomy. This unedited clip demonstrates division of the DVC and urethra and oversewing of the DVC to maximally spare the urethral complex. This results in early continence. 6 week pad free rates of up to 88%.


RALRP. Little bleeder!.mpg RALRP. Little bleeder!.mpg
Posted by: declanjpcahill

Video duration: 98 seconds

Luckily this little bleeder was revealed before closing a robotically assisted radical prostatectomy. Otherwise this may have resulted in a significant postoperative haematoma.


Bordeaux South Thames MPEG.mpg Bordeaux South Thames MPEG.mpg
Posted by: declanjpcahill

Video duration: 200 seconds

There is no lateral urethral dissection. To achieve this the DVC is divided with the urethra at the apex of the prostate without prior ligation. The DVC is then oversewn. This maximally preserves the urethral complex with a very high proportion of patients achieving early continence.

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