To enhance nerve-sparing during a daVinci procedure, my surgeon in Austin, Dr. F.a.g.i.n, avoids using heated instruments (cauterization) when working in the area of the nerve bundles. Avoiding heat near the nerves reduces the surgical trauma on the nerves when able to be spared. It is his opinion that this approach improves recovery of the spared nerve bundles.
TJ Dillon - TX
Diagnosed: May 2007, PSA-3.9, 1 of 12 cores Gleason 7 (3+4)
Treatment: Robotic laparoscopic prostatectomy 8/13/07
Post-op pathology: Confirmed Gleason 7 in left lobe, also Gleason 6 in right lobe, T2c, negative margins, both nerve bundles spared
Recovery: Catheter out 8/21/07