EVALUATION OF POTENCY AFTER NERVE SPARING CYSTOPROSTATECTOMY
AHMED MAHMOUD AHMED EL-ADL;
Abstract
This study was conducted in Urology Department, Benha Faculty
of Medicine since July 1999 till June 20.02 on 41 cases with invasive
bladder cancer necessitating radical cystoprostatectomy. Nerve sparing
technique was used in 33 cases, bilateral nerve sparing in 23 cases and unilateral in 10 cases. In eight cases the neurovascular bundles were
I
L sacrificed bilaterally. The sexual function of those patients was assessed
before and after surgery subjectively using questions number 3, 4 and question number 7 of the International Index of Erectile Function (liEF),
total score of 1 to 4 equal poor erectile function, score 5 to 10 equal
\
\
moderate erectile function, and score ll to 15 equal good erectile
function with objective evaluation by assessing the penile hemodynamic profile using intracavemous injection testing. In addition, single potential analysis of the cavernous electrical activity to assess the integrity of the cavernous nerves and corpus caven10sum smooth muscles as well. Patients fall into one of three groups according to age at operation, group
l_ I (below 50 years old), group II (50 to 60 years old), and group Ill (above
60 years old).
S,ix months postoperatively, subjective good erectile function was fatmd in 30% while moderate and poor erectile function was found in
70%. Twelve months postoperatively, good erectile function in 45% and
moderate and poor in 55°/o of patients. According to age groups, below 50 years old the erectile function was good in 1 OOo/o of cases (five cases). In the age group 50 to 60 years old (16 cases) the erectile function_ was good in 31o/o, moderate and poor in 69
of Medicine since July 1999 till June 20.02 on 41 cases with invasive
bladder cancer necessitating radical cystoprostatectomy. Nerve sparing
technique was used in 33 cases, bilateral nerve sparing in 23 cases and unilateral in 10 cases. In eight cases the neurovascular bundles were
I
L sacrificed bilaterally. The sexual function of those patients was assessed
before and after surgery subjectively using questions number 3, 4 and question number 7 of the International Index of Erectile Function (liEF),
total score of 1 to 4 equal poor erectile function, score 5 to 10 equal
\
\
moderate erectile function, and score ll to 15 equal good erectile
function with objective evaluation by assessing the penile hemodynamic profile using intracavemous injection testing. In addition, single potential analysis of the cavernous electrical activity to assess the integrity of the cavernous nerves and corpus caven10sum smooth muscles as well. Patients fall into one of three groups according to age at operation, group
l_ I (below 50 years old), group II (50 to 60 years old), and group Ill (above
60 years old).
S,ix months postoperatively, subjective good erectile function was fatmd in 30% while moderate and poor erectile function was found in
70%. Twelve months postoperatively, good erectile function in 45% and
moderate and poor in 55°/o of patients. According to age groups, below 50 years old the erectile function was good in 1 OOo/o of cases (five cases). In the age group 50 to 60 years old (16 cases) the erectile function_ was good in 31o/o, moderate and poor in 69
Other data
| Title | EVALUATION OF POTENCY AFTER NERVE SPARING CYSTOPROSTATECTOMY | Other Titles | تقييم القدرة الجنسية بعد استئصال المثانة والبروستاتا مع المحافظة على الأعصاب المغذية للنسيج الكهفى | Authors | AHMED MAHMOUD AHMED EL-ADL | Issue Date | 2002 |
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