[Preservation of erectile function in patients with prostatic cancer after radical prostatectomy].
Radical retropubic prostatectomy (RPPE) for local prostatic cancer was made in 226 patients. Neurovascular bundles were preserved on one or both sides in 68 (30%) of them. Sixty one (90%) of these patients filled in questionnaires. In 37 (61%) of them the bundles were preserved unilaterally, in 24 (39%)--bilaterally. Only 7 (19%) patients had 4-5 score erection after unilateral nerve-preserving RPPE, 16 (43%) had tumescence. 0 score tumescence was detected in 14 (38%) patients of this group. Thirteen (54%) patients after RPPE with bilateral preservation of the bundles had 4-5 score erection. 0 score erection was in 3 (12%) patients of this group. Comparison of the patients under and over 60 years of age has shown that younger patients' erectile function recovers more quickly: in unilateral nerve-preserving RPPE in 20 and 12%, respectively; in bilateral operation--in 47 and 39%, respectively. Thus, erectile function can be preserved in patients after RPPE in careful preoperative selection of the candidates and in conduction of surgery meeting all modern requirements.
Pushkar'
D Iu
DIu
Bormotin
A V
AV
Rasner
P I
PI
D000368:Aged; D007172:Erectile Dysfunction / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010410:Penile Erection; D011467:Prostate / Q000294:innervation / Q000601:surgery*; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D011788:Quality of Life; D011795:Surveys and Questionnaires