title: [Surgical solutions to iatrogenic impotence following total cysto-prostatectomy].
abstract: Sixty-nine patients who underwent major pelvic surgery for bladder cancer were evaluated for sexual consequences. Impotence was observed in 85% of the patients after 48 radical cysto-prostatectomies. Among them, one third developed a parallel sexuality without erection but with orgasm: they are candidates for penile implants. In a small number (15%) of the patients, erections were preserved: this was observed in 5 out of 12 patients (41%) who were operated with the new technique sparing the cavernous nerves. An optimistic note emerges from surgical solutions, whether prophylactic or palliative, but one must insist on the necessity of a psychological support before and after the operation.
authors.forename: M
authors.initials: M
authors.lastname: Etcheverry
mesh_terms: D000368:Aged; D007172:Erectile Dysfunction / Q000209:etiology* / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000294:innervation; D011183:Postoperative Complications / Q000209:etiology*; D011468:Prostatectomy / Q000009:adverse effects*; D019736:Prostheses and Implants; D001749:Urinary Bladder Neoplasms / Q000601:surgery*
vernacular_title: Solutions chirugicales de l'impuissance iatrogène après cysto-prostatectomie totale.