But some patients are ineligible for nerve-sparing surgery, as the cancer resides too close to the nerves to spare them.
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"It has been hyped by the instrument makers, " says Johns Hopkins University urologist Patrick Walsh, renowned for inventing a nerve-sparing prostatectomy procedure that preserves sexual function.
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Until recently the best chance to avoid post-op impotence was so-called nerve-sparing surgery, a procedure pioneered in 1982 by Patrick Walsh, director of the Brady Urological Institute at Johns Hopkins Hospital.