Comparsion of the clinical effects between intrapascial and interfascial nerve-sparing in laparoscopic radical prostatectomy for prostate cancer

ObjectiveTo compare the clinical effects between intrafascial and interfascial nerve-sparing in laparoscopic radical prostatectomy.

MethodsThe clinical data of 41 prostate cancer patients treated with laparoscopic radical prostatectomy were retrospectively analyzed.Twenty cases were treated with intrafascial nerve-sparing technique(intrafascial group), and 21 cases were treated with interfascial nerve-sparing technique(interfascial group).The perioperative indicators, erectile function and early urinary control were compared between two groups.

ResultsThe number of using urinal pads in intrafascial group was significantly better than that in interfascial group after 3 and 6 months of operation(P < 0.05).In the intrafascial group, the recovery of erectile function was significantly improved after 6 months of operation(66.7% vs 33.3%, P < 0.05).

ConclusionsCompared with the interfascial nerve-sparing technique, the intrafascial nerve-sparing technique can provide similar surgical results, and obstain better early urinary control and restoration of erectile function.