Potency after unilateral nerve sparing surgery: a report on functional and oncological results of unilateral nerve sparing surgery.
The objective of the study was to evaluate unilateral nerve sparing prostate surgery. Patient files of men who underwent unilateral nerve sparing radical prostatectomy were analyzed retrospectively after a minimum follow-up period of 18 months. Of 46 patients who received unilateral nerve sparing surgery, 14 (30.4%) regained full potency after surgery. In 92.9% of these patients, recovery occurred within a period of 18 months. Age is the single most important factor in the recuperation of potency after unilateral nerve sparing surgery. Most of the patients (84.8%) reported the ability to achieve orgasm. Of eight patients with positive section margins, two had positive section margins at the spared side only. Unilateral nerve sparing surgery remains a feasible treatment option for prostate cancer.
Van der Aa
F
F
Department of Urology, University Hospitals Leuven, Leuven, Belgium.
Joniau
S
S
De Ridder
D
D
Van Poppel
H
H
D000328:Adult; D000367:Age Factors; D000368:Aged; D007172:Erectile Dysfunction / Q000209:etiology / Q000628:therapy; D007839:Functional Laterality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010410:Penile Erection; D010413:Penis / Q000294:innervation*; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000601:surgery*; D020127:Recovery of Function; D012189:Retrospective Studies; D012307:Risk Factors; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects