EN BLOC RADICAL CYSTOPROSTATOURETHRECTOMY WITH PRESERVATION OF SEXUAL FUNCTION

Yoichi Arai, Osamu Yoshida

Research output: Contribution to journalReview articlepeer-review

2 Citations (Scopus)

Abstract

Background: Recent understanding of the precise anatomy of the cavernous nerves to the penis allows us to preserve potency in men undergoing radical prostatectomy or radical cysto‐prostatectomy. A technique of urethrectomy that preserves potency has been also developed. To date, however, delayed urethrectomy has been recommended to preserve potency. We have applied a nerve‐sparing technique to en bloc cystoprostatourethrectomy. Methods: Seven patients have undergone simultaneous urethrectomy with the radical cystoprostatectomy by the nerve‐sparing technique. Patient age ranged from 52 to 69 years (mean age, 61.3 years). All patients were potent preoperatively. Meticulous and complete dissection of the membranous urethra from the pelvis is the key to preservation of potency at urethrectomy. Results: The patients were followed for 7 to 64 months (mean, 27.3 months). Four (57%) of the patients regained potency postoperatively. Two patients were able to have erections postoperatively but are still impotent. Conclusions: Our clinical results show that it is possible to perform simultaneous urethrectomy and preserve potency.

Original languageEnglish
Pages (from-to)249-251
Number of pages3
JournalInternational Journal of Urology
Volume2
Issue number4
DOIs
Publication statusPublished - 1995 Sep

Keywords

  • cystectomy
  • nerve‐sparing technique
  • urethrectomy

ASJC Scopus subject areas

  • Urology

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