NERVE SPARING RADICAL PROSTATECTOMY - A DIFFERENT VIEW

被引：128

作者：

GEARY, ES ^{[1
]}

DENDINGER, TE ^{[1
]}

FREIHA, FS ^{[1
]}

STAMEY, TA ^{[1
]}

机构：

[1] STANFORD UNIV,CTR MED,SCH MED,DEPT UROL,STANFORD,CA 94305

来源：

JOURNAL OF UROLOGY | 1995年 / 154卷 / 01期

关键词：

PENIS; PENILE ERECTION; IMPOTENCE; PROSTATECTOMY; PROSTATIC NEOPLASMS;

D O I：

10.1016/S0022-5347(01)67251-3

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Erectile dysfunction was evaluated in 459 men with prostate cancer before and after radical prostatectomy. Potency was defined as the ability to achieve unassisted intercourse with vaginal penetration. Of the patients 51 were potent postoperatively, including 2 of 187 (1.1%) undergoing surgery without nerve sparing, and 27 of 203 (13.3%) undergoing unilateral and 22 of 69 (31.9%) undergoing bilateral nerve sparing prostatectomy. Less than half of the patients who were sexually active postoperatively were satisfied with the erections or achieved intercourse at least once a month. Postoperative potency was statistically related to the number of neurovascular bundles spared, frequency of intercourse preoperatively, absence of seminal vesicle or lymph node involvement with cancer, absence of postoperative incontinence or strictures, patient age and cancer volume.

引用

页码：145 / 149

页数：5