Current status of prostate-sparing cystectomy.
Radical cystoprostatectomy includes en bloc excision of the prostate due to a high incidence of occult prostatic malignancy in patients with bladder cancer. Radical cystectomy has a considerable incidence of functional morbidity, and concerns regarding morbidity can delay initiation of cystectomy by the patient or physician, thereby affecting long-term prognosis. Some investigators have advocated prostate-sparing cystectomy to improve postoperative continence and potency rates, and enhance patient acceptance of timely cystectomy. While these prostate-sparing series describe excellent postoperative functional results, concerns are raised regarding the oncologic efficacy of this procedure. Prostate-sparing cystectomy is arguably one of the most controversial topics in the field of urology today.
Kefer
John C
JC
Glickman Urological Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Campbell
Steven C
SC
D015653:Cystectomy / Q000009:adverse effects / Q000379:methods / Q000639:trends*; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods / Q000639:trends*; D011471:Prostatic Neoplasms / Q000601:surgery*; D012735:Sexual Dysfunction, Physiological / Q000209:etiology; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology