[Sexual-nerve-Sparing radical cystectomy: experience with 32 cases].
OBJECTIVE
To evaluate the effect of sexual-nerve-sparing radical cystectomy.


METHODS
Thirty-two male patients were treated with sexual-nerve-sparing radical cystectomy in our hospital in the past 5 years. The age of the patients ranged from 38 to 72 years, with the course of the disease ranging from 2 days to 20 years. All of them were potent preoperatively. Radical cystectomy was performed antegradely and retrogradely with the neurovascular bundle spared.


RESULTS
The patients were followed up for 6 to 54 months, 3 achieved sexual activity of Grade I, 6 Grade II and 23 Grade III after the operation. The recovery time of erectile function ranged from 2 to 14 months, averaging at 4. 5 months.


CONCLUSIONS
Whenever condition suits, sexual-nerve-sparing radical cystectomy is to be strongly recommended.
Wang
Yi-min
YM
Department of Urology, First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310003, China. wangym_in@163.com
Luo
Jin-dan
JD
Yang
Guo-sheng
GS
Shen
Bo-hua
BH
Zhang
Zhi-gen
ZG
Zhu
Xuan-wen
XW
Cai
Song-liang
SL
D000328:Adult; D000368:Aged; D003075:Coitus; D015653:Cystectomy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D010413:Penis / Q000294:innervation*