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Titolo:
Effect of radical retropubic prostatectomy on erectile function, evaluatedbefore and after surgery using colour Doppler ultrasonography and nocturnal penile tumescence monitoring
Autore:
Kawanishi, Y; Lee, KS; Kimura, K; Kojima, K; Yamamoto, A; Numata, A;
Indirizzi:
Takamatsu Red Cross Hosp, Dept Urol, Kagawa 7600017, Japan Takamatsu Red Cross Hosp Kagawa Japan 7600017 rol, Kagawa 7600017, Japan
Titolo Testata:
BJU INTERNATIONAL
fascicolo: 3, volume: 88, anno: 2001,
pagine: 244 - 247
SICI:
1464-4096(200108)88:3<244:EORRPO>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEXUAL FUNCTION; CONTINENCE; POTENCY; CANCER;
Keywords:
prostate cancer; erectile dysfunction; prostatectomy; nerve-sparing surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Kawanishi, Y Takamatsu Red Cross Hosp, Dept Urol, 4-1-3 Bancho, Kagawa 7600017, Japan Takamatsu Red Cross Hosp 4-1-3 Bancho Kagawa Japan 7600017 n
Citazione:
Y. Kawanishi et al., "Effect of radical retropubic prostatectomy on erectile function, evaluatedbefore and after surgery using colour Doppler ultrasonography and nocturnal penile tumescence monitoring", BJU INT, 88(3), 2001, pp. 244-247

Abstract

Objective To assess the effect of radical retropubic prostatectomy on erectile function, by evaluating objectively patients' erectile function beforeand 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, five were potent after surgery. The cause of erectile function after surgery was a neurogenic disorder in seven and it related vascular disorder in five. Conclusion From objective tests of erectile function on patients scheduledto 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 wits the main cause of erectile dysfunction after surgery, vascular disorderswere also important.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 01:03:22