Intra-operative pathology by frozen section is uncommon especially for any tissues besides lymph nodes. The downside is that it adds delay (you are under anesthesia longer). It is also not as reliable or comprehensive as final, formalin-fixed, pathology.
Inked margins refer to the other surface of the prostate that is stained with India ink before it is sectioned as illustrated in the following slide presentation: www.urologyrounds.com/index.php?controller=viewFile&id=622
To my knowledge, for robotic surgery the specimen is always
removed in a bag as it needs to be squeezed out through a small hole.
Electro-cautery should not be used anywhere near the nerves. Studies have shown this causes nerve injury and delays / impairs recovery of potency.
Jan '13: PSA 1.23, small nodule on DRE (1st screening @ age 40)
Mar '13: Biopsy 2 of 12 cores GS 3+3: rt mid 10% and rt apex 20% w/ PNI+ Stage cT2a
Apr '13: Biopsy confirmed by Dr. Epstein @ Hopkins
open RRP by Dr. Burnett @ Hopkins. Both nerves spared.
Final Path: GS 3+3, organ confined (tumor extent moderate), SV and 11 nodes all negative (pT2a), negative margins!
PSA: 0.01 @ 6 wks
Post Edited (njs) : 7/20/2013 8:57:23 AM (GMT-6)