Radical Retropubic Prostatectomy in the Treatment of Prostatic Carcinoma

“…This proceed ing has several benefits. (1) At a neat anastomosis, which can be performed under view, the strictures, usually characterized as possi ble complications [43,44], can be excluded next. (2) Sphincter func tion can be improved by incorporating the bundles of smooth mus cle fibers, which are arranged circularly in the area of the trigone and the bladder neck, into the sphincter system.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Radical Prostatectomy in Cases of Prostatic Carcinoma: The Problem of Postoperative Urinary Incontinence (With 1 color plate)

Hauri¹,

Heinzelmann²,

Konstantinidis³

1988

Urol Int

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“…Polascik et al. [19] reported that the accessory pudendal artery is not important for preserving erectile function, but colour Doppler, anatomical (autopsy) and radiological studies provide opposing evidence [20–22]; the accessory pudendal artery is important for maintaining erectile function in those in whom it exists. The present patients also had decreased penile blood flow after injuries to the accessory pudendal arteries.…”

Section: Discussionmentioning

confidence: 99%

Effect of radical retropubic prostatectomy on erectile function, evaluated before and after surgery using colour Doppler ultrasonography and nocturnal penile tumescence monitoring

et al. 2001

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Objective To assess the effect of radical retropubic prostatectomy on erectile function, by evaluating objectively patients' erectile function before and after surgery. Patients and methods The study comprised 126 patients with clinically localized prostate cancer who were scheduled to undergo radical retropubic prostatectomy. After giving informed consent for the study, 123 patients underwent intracavernosal injection tests, colour Doppler ultrasonography and nocturnal penile tumescence monitoring before and after surgery. Results From the intracavernosal injection tests and nocturnal penile tumescence monitoring, 21 patients (17%) were evaluated as having normal erectile function before surgery. After radical retropubic prostatectomy, nine (43%) of these 21 potent men had preserved erectile function. In eight patients whose neurovascular bundles were preserved, ®ve were potent after surgery. The cause of erectile function after surgery was a neurogenic disorder in seven and a related vascular disorder in ®ve. Conclusion From objective tests of erectile function on patients scheduled to undergo radical prostatectomy, 17% had normal erectile function. However, even after nerve-sparing radical retropubic prostatectomy, the proportion retaining potency was unsatisfactory. Although a neurological disorder was the main cause of erectile dysfunction after surgery, vascular disorders were also important.

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Radical Retropubic Prostatectomy in the Treatment of Prostatic Carcinoma

Cited by 86 publications

References 16 publications

Anastomotic Stricture after Radical Prostatectomy

Anastomotic Stricture after Radical Prostatectomy

Radical Prostatectomy in Cases of Prostatic Carcinoma: The Problem of Postoperative Urinary Incontinence (With 1 color plate)

Effect of radical retropubic prostatectomy on erectile function, evaluated before and after surgery using colour Doppler ultrasonography and nocturnal penile tumescence monitoring

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