We propose that the preserved neurovascular bundles with intrafascial nsEERPE are more viable. The intrafascial nsEERPE enables the dissection of the prostate with limited trauma to the surrounding fascias and the enclosed neurovascular bundles. Positive surgical margins in pT2 and pT3 tumors were 4.5% and 29.4%, respectively. At the 12-mo follow-up, the potency rates (erections sufficient for intercourse with or without the use of phosphodiesterase 5 inhibitors) of the patients who underwent bilateral intrafascial nsEERPE were 89.7% (age: 44-55 yr), 81.1% (age: 56-65 yr), and 61.9% (age: >65 yr). The median pain score decreased from 8 preoperatively to 2 (IQR 0-5) 3 months postoperatively (p 2 pads/d. ![]() Follow-up was completed in 30 patients (94%). Patients were assessed preoperatively, 3 months postoperatively and after a median follow-up of 19 months. Secondary outcomes were sports resumption, physical functioning and long-term pain intensity. The primary outcome was pain reduction during exercise on the numeric rating scale (NRS) 3 months postoperatively. Athletes were assessed by a sports medicine physician, radiologist and hernia surgeon and underwent subsequent endoscopic TEP repair with placement of polypropylene mesh. ![]() An observational, prospective cohort study was conducted in 32 athletes with inguinal disruption. ![]() The aim of this study was to evaluate the effect of endoscopic totally extraperitoneal (TEP) repair in athletes with inguinal disruption, selected through a multidisciplinary, systematic work-up. Inguinal disruption, a common condition in athletes, is a diagnostic and therapeutic challenge. Roos, M M Bakker, W J Goedhart, E A Verleisdonk, E J M M Clevers, G J Voorbrood, C E H Sanders, F B M Naafs, D B Burgmans, J P J Athletes with inguinal disruption benefit from endoscopic totally extraperitoneal (TEP) repair.
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