The issue of prostate capsule and seminal vesicle sparing during radical cystectomy and orthotopic neobladder urinary diversion for the treatment of bladder cancer is timely and controversial. The subject is polarizing and evokes strong opinions in supporters and detractors (references 1, 2 and 8 in article).1 Maintenance of oncological safety and simultaneous reduction of surgically related morbidity, particularly with regard to continence, erectile function and preservation of fertility, are the obvious goals of the surgical modifications.
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