Preservation of ejaculatory and erectile function after radical cystectomy for urothelial malignancy
Author
Source
Journal of the Egyptian National Cancer Institute
Issue
Vol. 17, Issue 4 (31 Dec. 2005), pp.239-244, 6 p.
Publisher
Cairo University National Cancer Institute
Publication Date
2005-12-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background : During treating cancer patients, sexual issues should not be forgotten.
With increasing survival from urologic cancer, quality of life and quality of sexuality have became very important targets in treating those patients.
Fertility to those patients who desire fatherhood is sometimes more important than cancer morbidity, especially young patients in the rural areas in our country, to the extent that they may refuse the operation.We describe a new technique to preserve the erectile function and antegrade ejaculation after radical cystectomy.
Patients and Methods : Seven potent men with a median age of 40 years (range 35-50) presented with invasive transitional cell carcinoma (TCC) of the lateral or the anterior bladder wall.
All patients wished to preserve the ejaculatory function and fertility potential.
We described the surgical technique of nerve sparing radical cystectomy with preservation of the vas deferens, seminal vesicles, whole prostate and neurovascular bundles.
The follow up period ranged from six months to three years (mean 20 months) to assess recurrence, erectile function and ejaculatory function.
Results : Erectile function is normal in all patients with satisfactory sexual intercourse.
Antegrade ejaculation was documented in six cases.
One of them fathered a child.
No local or distant recurrence was detected in the seven patients at the last follow-up.
Conclusion : The technique of radical cystectomy (with preservation of the vas deferens, whole prostate and seminal vesicle) is a good option in selected young men with bladder carcinoma in whom preservation of fertility is desirable.
American Psychological Association (APA)
Salim, Husni Khayri. 2005. Preservation of ejaculatory and erectile function after radical cystectomy for urothelial malignancy. Journal of the Egyptian National Cancer Institute،Vol. 17, no. 4, pp.239-244.
https://search.emarefa.net/detail/BIM-29941
Modern Language Association (MLA)
Salim, Husni Khayri. Preservation of ejaculatory and erectile function after radical cystectomy for urothelial malignancy. Journal of the Egyptian National Cancer Institute Vol. 17, no. 4 (Dec. 2005), pp.239-244.
https://search.emarefa.net/detail/BIM-29941
American Medical Association (AMA)
Salim, Husni Khayri. Preservation of ejaculatory and erectile function after radical cystectomy for urothelial malignancy. Journal of the Egyptian National Cancer Institute. 2005. Vol. 17, no. 4, pp.239-244.
https://search.emarefa.net/detail/BIM-29941
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 243-244
Record ID
BIM-29941