title: Current status of prostate-sparing cystectomy.
abstract: 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.
authors.affiliation: Glickman Urological Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
authors.forename: John C
authors.initials: JC
authors.lastname: Kefer
authors.forename: Steven C
authors.initials: SC
authors.lastname: Campbell
mesh_terms: 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