Potency Preserving Cystectomy With Intrafascial Prostatectomy for High Risk Superficial Bladder Cancer

Puppó, P.; Introini, Carlo; Bertolotto, Franco; Naselli, Angelo

doi:10.1016/j.juro.2008.01.046

Cited by 23 publications

(13 citation statements)

References 18 publications

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“…In our limited series, we did not consider the influence of the nerve-sparing procedure on postoperative QOL since we handled the patients who had undergone orthotopic neobladder creation in the early period of the neobladder era. Recently, Puppo et al [20] reported a new technique for potency-preserving radical cystectomy with intrafascial prostatectomy. Median IIEF-5 decreased extremely slightly postoperatively with respect to the baseline (25 vs. 21), while maintaining good oncological outcomes.…”

Section: Discussionmentioning

confidence: 99%

Assessment of long-term quality of life in patients with orthotopic neobladder followed for more than 5 years

et al. 2010

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Section: Discussionmentioning

confidence: 99%

Assessment of long-term quality of life in patients with orthotopic neobladder followed for more than 5 years

et al. 2010

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“…This procedure was completed similarly to that firstly described by Puppo et al [10] in 2008 and subsequently referred in different series by Ong et al [11] and Hautmann et al [12]. The main steps include a blunt extraperitoneal antegrade dissection between the posterior bladder wall and the seminal vesicles up to the ejaculatory ducts and a retrograde intrafascial prostatectomy.…”

Section: Nerve-sparing Cysto-vesicleprostatectomy (Ns-cvp)mentioning

confidence: 92%

Fifteen-year single-centre experience with three different surgical procedures of nerve-sparing cystectomy in selected organ-confined bladder cancer patients

et al. 2015

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“…A recent review of 252 cancer patients who had some form of prostate-sparing cystectomy also found a suspiciously high rate of distant metastases [160]. The risk of ED following surgery varied in different series depending on the extent of surgery [157][158][159][161][162][163].…”

Section: Pelvic Radiotherapymentioning

confidence: 99%

Cancer and Sexual Problems

Sadovsky

Basson

Krychman

et al. 2010

The Journal of Sexual Medicine

262

198

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Introduction There are many data on sexual problems subsequent to cancer and its treatment, although the likelihood of problems in specific individuals depends on multiple variables. Aims To gain knowledge about the risks of sexual problems among persons with cancer and to provide recommendations concerning their prevention and optimal treatment. Methods A committee of multidisciplinary specialists was formed as part of a larger International Consultation working with urologic and sexual medicine societies over a 2-year period to review the result of chronic illness management on sexual function and satisfaction. The aims, goals, data collection techniques, and report format were defined by a central committee. Main Outcomes Measures Expert consensus was based on evidence-based medical and psychosocial literature review, extensive group discussion, and an open presentation with a substantial discussion period. Results Cancer and cancer treatments have both direct and indirect effects on physiologic, psychological, and interpersonal factors that can all impact negatively on sexual function and satisfaction. Data on the likelihood of specific sexual problems occurring with cancer and its management vary depending on prediagnosis function, patient response, support from the treatment team, specific treatments used, proactive counseling, and efforts to mitigate potential problems. This summary details available literature concerning the pathophysiologic and psychological impacts of cancer diagnosis and treatment on sexual function, plus recommendations for their prevention and management. Conclusions Cancer and its management have a significant negative impact on sexual function and satisfaction. These negative effects can be somewhat mitigated by understanding prediagnosis sexual functioning level, counseling, careful treatment choices, and, when indicated, therapy post-treatment using educational, psychological, pharmacologic, and mechanical modalities.

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Potency Preserving Cystectomy With Intrafascial Prostatectomy for High Risk Superficial Bladder Cancer

Abstract: The main criticism about so-called sexuality sparing cystectomy has been the presence of consistent prostatic remnants. Performing intrafascial prostatectomy together with supra-ampullar cystectomy seems to warrant good functional results with while better preserving oncological safety.

Cited by 23 publications

References 18 publications

Assessment of long-term quality of life in patients with orthotopic neobladder followed for more than 5 years

Assessment of long-term quality of life in patients with orthotopic neobladder followed for more than 5 years

Fifteen-year single-centre experience with three different surgical procedures of nerve-sparing cystectomy in selected organ-confined bladder cancer patients

Cancer and Sexual Problems

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