Genital / Reproductive system male, Oncology, Pelvis, MR, Staging, Cancer
B. S. D. Flor de Lima, G. Freire, A. Lopes, J. Cassis, A. Guerra
In patients with PCa, the detection of extra-capsular extension (ECE) is important for preoperative planning and MRI is the main imaging method used to stage PCa. However, the classical MRI reported features to detect ECE are not specific but only suspicious for microscopic ECE.
The surgeons need to know whether the neurovascular bundle is involved, as nerve-sparing robotic prostatectomy could be performed with likely negative surgical margins in patients with organ-confined PCa. This minimally invasive technique avoids important side effects such as sexual dysfunction and urinary incontinence.