Nerve Sparing Robotic Assisted Surgery
best luck pmclarkar

@pmclarksr -- with surgery, there's a variety of options so when someone says they had surgery it's important to know what kind. As already mentioned NS RALP is Nerve Sparing Robotic Assisted Laparoscopic Proctectomy. Mine was bilateral, so they could preserve the 2 nerve bundles, one of each side, as opposed to unilater where they can only preserve one side nerve bundle, or NNS (Non Nerve Sparing) where they take both nerve bundles. One of the questions I had before surgery was whether I was a candidate for bilateral NS RALP as that would give me the best option for being continent and eventually having sexual function. Sometimes ahead of the surgery they already know they'll have to take more. Other times they may decide they need to take more tissue once they examine the tissue during surgery. Similarly, when a surgery goes well without complications the truama to tissue is minimized, while other times the surgery report will state additional measures were needed.