We have already informed you about the highly complex operation performed by Guram Karazanashvili. This operation caught the attention of the American Urological Association and was considered a breakthrough in oncological urology. We present you with an overview of the operation and a short video that was presented at the American Urological Congress.
Operation Description:
Extraperitoneal cystoprostatectomy with preservation of the peritoneum, nerves, and prostate sphincter, and creation of an orthotopic ileal neobladder extraperitoneally.
Indication:
What’s New:
Saving modifications were developed:
- Modification of the technique for the elimination of the bladder, prostate, and lymph nodes without opening the peritoneal cavity.
- Modification of the technique for preserving and saving the sphincter of the urethra and the apex of the prostate.
- Modification of the technique for preserving and saving the nerve-vascular bundle responsible for erection and sexual function.
- Modification of the technique for creating an artificial bladder from the intestine.
- Full removal of the artificial bladder from the peritoneal cavity and hermitization technique of the peritoneal cavity
