Ash Tewari, MD1

Ash Tewari, MD2

Ash Tewari, MD, FRCS (Glass. Hon.), M.Ch.Ronald P. Lynch Professor of Urologic-oncology

Director Institute of Prostate Cancer and Lefrak Center of Robotic SurgeryWeill Cornell Medical College, NYPH, Manhattan, NY

Gerald Tan, MD, FRCS, Prasanna Sooriakumaran, MD., FRCS, Ph.D, Sushmita Mukharjee, Fred Maxfield, Mark Rubin, Maria Shevchuk, Brian Robinson, Juan Mosquera, Robert Leung, Mike Herman, Abhishek Srivastava, Douglas DeCorato, Sonal Grover, Swati Srivastava, Youssef, Rajiv Yadav, Anil Mandhani, A. Takenaka, Watt Webb, Warren Zipfel, Joshua Sterling, Shivram, Peter

Schlegel

Robotic Prostate Cancer Surgery

Walking the tight rope- balancing between cancer control and erectile function

Journey of a single surgeon in nerve sparing through last 10 years…..

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Predominant Neurovascular bundle

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Neurovascular Bundle

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Ash Tewari, MD

Prostate

Rectum

Levator ani

Prostate

PNB

Levator ani

A

B

C

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Proximal Neurovascular Plate

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Proximal Neurovascular PlateProximal Neurovascular Plate

ProstateProstate

RectumRectum

Pubic RamusPubic Ramus

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Accessory neural tissue

Antero-lateral pathwaysPosterior pathwaysRetro-apical pathways

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Denonviller’s fascia

Undersurface of the prostate

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Posterior nerves

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Prostate

Bladder

Aorta

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