Enhancing nerve sparing in robotic prostate surgery: the impact of NeuroSAFE on fascia preservation score.

ABSTRACT:

Background

Robot-assisted radical prostatectomy (RARP) has become the standard surgical procedure for localized prostate cancer (PCa). Nerve sparing with neurovascular structure-adjacent frozen-section examination (NeuroSAFE) has been associated with improved functional outcomes while maintaining oncological outcomes. This study investigates the impact of NeuroSAFE on nerve sparing during RARP, using the fascia preservation (FP) score. This score (range 0-6 per side) reflects the extent of preserved fascia at twelve circumferential positions; higher scores indicate greater nerve preservation.

Methods

A single-center retrospective cohort study was conducted between January 2022 and December 2024, including 100 PCa patients selected for RARP. A preoperative surgical plan was c

SUBMITTER: van der Graaf SH 

PROVIDER: S-EPMC12541507 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature