[Clinical outcomes of sexuality preserving cystectomy and Roux-y sigmoid neobladder].
OBJECTIVE
To assess the penile erectile function, urinary continence and voiding, and cancer recurrence in 18 bladder cancer patients after sexuality preserving cystectomy and Roux-y sigmoid neobladder reconstruction.


METHODS
Eighteen male patients with bladder cancer underwent sexuality preserving cystectomy and Roux-y sigmoid neobladder reconstruction, and were followed up for cancer recurrence and such clinical outcomes as erectile function and urinary continence and voiding.


RESULTS
The patients were followed up for an average of 41 months, of whom, all achieved day- and night-time urinary continence, but 2 with positive lymph nodes died of extensive metastasis at 10 and 15 months, respectively, after surgery. Among the total number, potency was maintained in 11 patients (61.1%), impaired in 2 and lost in 5, and the post-operative IIEF-5 score was (10.83 +/- 8.25) as compared with (13.72 +/- 6.39) before the operation, with a statistically significant difference (P < 0.05).


CONCLUSIONS
Erectile function and urinary continence are fairly good in bladder cancer patients after sexuality preserving cystectomy and Roux-y sigmoid neobladder reconstruction, and the oncological results are fairly acceptable, but still need to be confirmed by longer follow-ups and larger trials.
Xia
Wei-mu
WM
Department of Urology, No. 184 Hospital of PLA, Yingtan, Jiangxi 335000, China. xiaweimu@126.com
Liu
Ding-yi
DY
Zhou
Wen-long
WL
Wang
Ming-wei
MW
Xu
Yu-sheng
YS
Wang
Jian
J
Zhang
Li
L
Ma
Chun-xi
CX
Chen
Rong-jian
RJ
Ye
Yong-feng
YF
D000368:Aged; D000369:Aged, 80 and over; D012809:Colon, Sigmoid / Q000601:surgery*; D015653:Cystectomy; D007172:Erectile Dysfunction / Q000517:prevention & control; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D010410:Penile Erection; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014549:Urinary Incontinence / Q000517:prevention & control