Continence, Potency and Morbidity After Radical Perineal Prostatectomy

Weldon, Vernon E.; Tavel, Frank R.; Neuwirth, Harry

doi:10.1016/s0022-5347(01)64245-9

Cited by 128 publications

(41 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a prospective study, Frazier et al 20 reported 77% potency after a bilateral nervesparing RPP. Weldon et al 21 also reported that 68% of unilateral nerve-sparing and 73% of bilateral nerve-sparing prostatectomy patients had return of natural erections. However, in Weldon's report, 170 of the 220 cases have been excluded due to suboptimal preoperative erectile function.…”

Section: Radical Perineal Prostatectomy (Rpp)mentioning

confidence: 96%

Sexual dysfunction after pelvic surgery

et al. 2005

View full text Add to dashboard Cite

Pelvic surgeries are among the most common causes of organic sexual dysfunction in men and women. The impact of nerve-sparing surgery on potency has been well documented in radical prostatectomy. However, its impact on potency needs to be evaluated in other pelvic surgeries. Sexual dysfunction is highly prevalent even after multiple technical advances in the field of oncological surgeries. The prevalence varies from 8 to 82%, depending on the type of pelvic surgery. In females, sexual dysfunction has not been evaluated adequately using validated questionnaires. However, in subspecialized circles, treatment for female sexual dysfunction is becoming routine. Currently, physicians have several options for the treatment of erectile dysfunction (ED) in men. Since the introduction of oral PDE-5 inhibitors, oral therapy has become the first-line treatment option for ED, irrespective of etiology. Currently available treatment options for the female sexual dysfunction include estrogens, androgens, phosphodiesterase inhibitors, and dopamine receptor antagonists. Initial reports regarding the role of early rehabilitation are encouraging and may become the part of routine practice in the management of ED after pelvic surgery. In this article, we summarize the sexual dysfunction following pelvic surgeries and their management. International Journal of Impotence Research (2006) IntroductionErectile dysfunction (ED) is defined as the inability to achieve and maintain an erection sufficient for satisfactory sexual intercourse. 1 Several factors have been implicated in the etiology of ED. Vascular and neurogenic causes are the most common among them. Diabetes, smoking and hypertension are the most important risk factors for vasculogenic sexual dysfunction. Neurological dysfunction is mainly associated with certain neurological syndromes like autonomic neuropathy. Sexual dysfunction after pelvic surgery has been an important and underreported cause of ED. The pathophysiology of sexual dysfunction after pelvic surgery is unique because it can be either vascular or neurogenic factors alone, or a combination of both. The pelvic surgeries in males that are associated with considerable ED include radical prostatectomy (RP), radical cystoprostatectomy (cystectomy) and low anterior or abdominoperineal resections (APRs) for rectal cancer. The pelvic surgeries in females associated with sexual dysfunction include radical cystectomy (RC) for bladder cancer, radical hysterectomy for cancers of the cervix and endometrium and, potentially, simple hysterectomy for benign tumors.In this article, we summarize male and female sexual dysfunction following pelvic surgeries for prostate, bladder and rectal cancer. We also discuss our experience in the treatment of sexual dysfunction following RP and RC. than 10%, urologists still report that the majority of patients experience ED following RRP. [3][4][5] Until recently, ED following RP was not an overwhelming concern, as most prostate cancers were detected in older men. 6 However, since the adven...

show abstract

Section: Radical Perineal Prostatectomy (Rpp)mentioning

confidence: 96%

Sexual dysfunction after pelvic surgery

et al. 2005

View full text Add to dashboard Cite

show abstract

“…44 A recent large study evaluated quality of life in men prospectively randomised to radical prostatectomy or watchful waiting. 45 Following surgery 80% of men had erectile dysfunction, compared to 45% in the watchful waiting group, and 49% had urinary leakage, compared to 21% in the watchful waiting group.…”

Section: Does Disease-specific Outcome With Early Intervention Justifmentioning

confidence: 99%

PSA testing: an evolving relationship with prostate cancer screening

Constantinou

Feneley

2005

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

“…[17] Several surgical maneuvers have been proposed to improve continence, including bladder neck preservation, sparing of seminal vesicles, urethral suspension, and bladder neck mucosal eversion. [21,38,42] Several studies have investigated the effect of surgical approach, though none have demonstrated significant differences in continence rates between the perineal and retropubic approaches [45,46] or among the open, laparoscopic, and robotic approaches. [12,13,[47][48][49] …”

Section: Risk Factorsmentioning

confidence: 99%

Post-prostatectomy incontinence: Etiology, evaluation, and management

Singla

2014

Turkish Journal of Urology

View full text Add to dashboard Cite

Urinary incontinence after prostatectomy or radiation is a devastating problem in men and remains the most feared complication following the treatment of localized prostate cancer. With an increasing number of radical prostatectomies performed globally for prostate cancer, the impact of urinary incontinence on quality of life assumes an even greater importance. With the advent of male sling procedures, more men are now seeking treatment for incontinence. Since the introduction of the artificial urinary sphincter almost four decades ago, several surgical procedures have emerged to manage post-prostatectomy incontinence, including the male sling for milder forms of incontinence. Several of the newer procedures have shown promise in the United States; many others have been developed and utilized in other parts of the world, though they have not yet gained FDA approval in the United States. The present review seeks to illuminate the etiology, evaluation, and management of post-prostatectomy incontinence. An effort has been made to provide an algorithm to clinicians for appropriate surgical management. The surgical techniques of commonly performed procedures and their outcomes are described.

show abstract

Continence, Potency and Morbidity After Radical Perineal Prostatectomy

Abstract: Radical perineal prostatectomy is safe. In our 220 patients there were no deaths and serious morbidity developed in 2%. The continence rate was 95% and 70% of a select group recovered potency.

Cited by 128 publications

References 28 publications

Sexual dysfunction after pelvic surgery

Sexual dysfunction after pelvic surgery

PSA testing: an evolving relationship with prostate cancer screening

Post-prostatectomy incontinence: Etiology, evaluation, and management

Contact Info

Product

Resources

About