Radical prostatectomy (RP) remains the gold standard treatment for organ-confined prostate cancer. Nonetheless, it may impact on the quality of life (QoL),1 as many men complain about sexual dysfunction and urinary incontinence.2 There are several variables impacting on QoL after surgery, so there is a large variability in reported functional outcomes; i.e., the impairment of erectile function (EF) following radical prostatectomy ranges from 25 to 75%.3 One important determinant is the surgical technique, as the majority of urologists emphasize the concept of heat-related damage, and strongly suggest avoiding the use of “any” energy device during the crucial steps of a nerve-sparing procedure.4