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NeuroSAFE/Retzius sparing surgery on NHS??

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User

Posted 24 Nov 2021 at 10:06

Originally Posted by: Online Community Member

That should pay for the pads and plenty of beer when the great man says I am OK to partake of it!

OMG! Why are you waiting? You don't need the okay from the surgeon to have a drink - Bollinge downed a couple on his way home after the op!

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 24 Nov 2021 at 10:07

Bollinge, was there also an entry wound on your perineum?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 24 Nov 2021 at 12:14

Because there won't be any pads or pants capable.................

User

Posted 24 Nov 2021 at 13:03

Mmmehhh - it is essential that you are drinking lots of fluids

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 24 Nov 2021 at 17:13

No, only 42 needle holes during my transperineal biopsy.

But whilst you are hanging upside down like a bat for prostatectomy, I think they put a giant dildo with sensors on it up your arse to help with the robotic surgery.

I know as I found a photo of it on Google!

Cheers, John.

Edited by member 25 Nov 2021 at 05:36 | Reason: Not specified

User

Posted 24 Nov 2021 at 22:10

John

I felt like a tea bag after that…I guess the ultrasounds probe explains my funny walk the day after 🥸😵‍💫😀

pleased to have dodged the pelvic drain with surgery 🤪

simon

Edited by member 24 Nov 2021 at 22:17 | Reason: Not specified

User

Posted 24 Nov 2021 at 22:14

Robot

i think this is why neurosafe tends to be used in the private setting and in due course is planned for the NHS….the pseudo real time data mitigates some of the risk associated with nerve sparing as gives a clearer picture ref margins. Sadly the anterior area of the prostate tends to be where most tumours start for some reason. I discussed thus with a couple of surgeons….be interesting to understand the pathology of those particular cells and why they seem so susceptible.

Edited by member 24 Nov 2021 at 22:15 | Reason: Not specified

User

Posted 24 Nov 2021 at 22:26

Andy

thats spot on. The cave of Retzius is a small area near the prostate that can be accessed without disturbing the critical nerves under the bladder. I think during the procedure, which is technically more challenging, the bladder is inverted to get access to the location. There are a few videos showing the approach on YouTube. I was hoping for mine to be filmed but sadly the recording unit wasn’t operational the day I had my surgery. Her ladyship wasn’t happy as I’d promised a Sunday matinée premier 🤷🏼‍♂️🥴🤭

simon

Edited by member 24 Nov 2021 at 22:27 | Reason: Not specified

User

Posted 17 Apr 2024 at 09:07

This is interesting. My husband had a RARP last week in Portsmouth QA hospital and although Retzius Sparing wasn’t mentioned beforehand it would appear he has had it - as his discharge letter says so. The surgeon did say in our pre op meeting that he did things “a little differently” which resulted in better continence outcomes but my husband didn’t expect this approach and so it has come as a nice surprise! I’m having to pinch myself but it most definitely states in black and white that this is what he has had.

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