Real-Time Intraoperative Neuromonitoring of Erectile and Urinary Functions during Radical Prostatectomy

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In this lecture from the 7th International Prostate Cancer Symposium, Dr. Arthur L. Burnett II presents an in depth exploration of real time intraoperative neuromonitoring during radical prostatectomy.

Dr. Burnett discusses how functional nerve mapping and physiologic monitoring during surgery can help surgeons better preserve erectile and urinary function without compromising cancer control. He reviews emerging techniques including sacral stimulation, pelvic floor electromyography, near infrared spectrophotometry, and grid based nerve mapping, while outlining future directions that integrate machine learning and continuous intraoperative feedback.


This presentation highlights how precision surgery guided by real time data may improve patient centered outcomes and reshape the future of prostate cancer care.








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Objectives
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Conclusions
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Intraoperative Meuromonitoring: Preoperative Placement of Spinal Electrodes
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Intraoperative. Neuromonitoring: Electromyography of the Pelvic Floor Sphincters
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Intraoperative Neuromonitoring: Penile Near Infrared Spectrophotometry
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Intraoperative Setup for Neuromonitoring of Erectile Function. and Continence
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Functional Near Infrared Spectrophotometry of the Penis: Oxygenated and Deoxygenated Hemoglobin Concentration
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Intraoperative Neuromonitoring: Cavernous Nerve Localization
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Intaoperative Neuromonitoring: Baseline Nerve localization
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Intaoperative Neuromonitoring: Continuous Nerve Impulses Recordings
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Electromyography of the External Urethral and Anal Sphincters
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Motor Unit Number Estimation of the External Urethral and Anal Sphincters
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Automated Intraoperative Monitoring to Improve Functional Outcomes following Radical Prostatectomy: Pilot Study Results
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Automated Intraoperative Monitoring to Improve Functional Outcomes following Radical Prostatectomy: Pivotal Study
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