[Our experience with impotence following radical pelvic surgery].
The etiology of impotence after radical prostatectomy and radical cystoprostatectomy is unclear, although a variety of potential factors have been cited: neurogenic, psychogenic and vascular. Injury to the pelvic nerve plexus and the branches that innervate the corpora cavernosa (cavernous nerves), seems to be the most important iatrogenic factor. The Authors selected 14 patients candidate to radical prostatectomy or radical cystoprostatectomy and studied their potency pre and post operatively by anamnesis and/or Rigiscan test. The sacral-evoked potential was determined in all these patients in order to detect a neurological etiologies. The average latency of the bulbo cavernous reflex was similar in the patients that lost their potency after surgery and in the patients that didn't lose their potency after surgery. The sacral-evoked response seems not to be a diagnostic test in the study of the impotence after pelvic radical surgery.
Divisione Urologia Ospedale C. Poma, Mantova.
C
C
Bondavalli
C
C
Pegoraro
L
L
Schiavon
B
B
Dall'Oglio
M
M
Luciano
A
A
Parma
D001158:Arteries / Q000293:injuries; D015653:Cystectomy / Q000009:adverse effects*; D007172:Erectile Dysfunction / Q000209:etiology* / Q000503:physiopathology; D005069:Evaluation Studies as Topic; D005071:Evoked Potentials; D006801:Humans; D007001:Hypogastric Plexus / Q000293:injuries* / Q000503:physiopathology; D008297:Male; D010413:Penis / Q000098:blood supply; D011183:Postoperative Complications / Q000503:physiopathology; D011468:Prostatectomy / Q000009:adverse effects*; D011930:Reaction Time; D012021:Reflex, Abnormal
La nostra esperienza sulla impotenza dopo chirurgia radiacale pelvica.