Estêvão Lima PhD- Urologist

In this real-time, unedited video recorded by Professor Estêvão Lima, a robotic radical prostatectomy with neurovascular bundle preservation is demonstrated using an extraperitoneal approach, a procedure that usually lasts 45–75 minutes.

This technique avoids significant patient tilt, offering important anesthetic advantages, and promotes a faster and more comfortable recovery, with less pain, reduced paralytic ileus, and a lower risk of major bleeding.

The video also highlights the precision in preserving key structures such as the bladder neck, neurovascular bundles, external urethral sphincter, urethral length, and puboprostatic ligaments, all essential for optimal postoperative erectile function and early urinary continence.

In this real-time, unedited video performed by Professor Dr. Estêvão Lima, you can observe a robot-assisted radical prostatectomy using the extraperitoneal approach, with preservation of the neurovascular bundles. This technique typically takes 45–75 minutes and can be performed with minimal patient tilt, offering important anesthetic benefits.

The approach also enables a faster and more comfortable postoperative recovery, with less pain, reduced ileus, and a lower risk of major bleeding.

The video highlights the precision required to preserve key structures such as the bladder neck, neurovascular bundles, external urethral sphincter, urethral length, and puboprostatic ligaments—crucial elements for maintaining erectile function and achieving early urinary continence.

Robotic pelvic organ-sparing radical cystectomy with intracorporeal orthotopic neobladder in Female : A Step-By-Step Guide video performed by Prof Estãvao Lima at CUF Hospitals, Portugal.