Erectile Dysfunction after Radical urologic pelvic surgery Insight into Etiology and prevention

Abstract

Jt is well recognized that radical pelvic surgery is the most effective form of treatment for certain pelvic cancers. It is equally well knO\vn that fear of impotence after such surgery, has resulted in denying many patients the potential benefits from the operation. Accordingly, increasing interest has developed in recent years among urosurgeons for the preservation of' • sexual function in patients with bladder or prostate cancer.

Jt should be stressed that although cancer cure or control is our main objective, efforts to preserve the patient's quality of life are also very important, so it is important for all urologists, to develop and skill the surgical techniques which avoid impotence. This study was a trial to practice and examine the efficacy of potency preserving techniques in our department and searching for the possible causes and the possible ways to prevent this problem after radical pelvic surgery.