Outcomes after radical retropubic prostatectomy

Noh, Choong Hee; Kshirsagar, Ash; Mohler, James L.

doi:10.1016/s0090-4295(02)02147-7

Cited by 24 publications

(16 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall, 31/48 patient (65%) were cured of their leakage, 7/48 (15%) were much improved, 3/48 (6%) were mildly improved, and 7/48 (15%) failed. Thirty-eight out of 48 (79%) were cured or much improved, and were ''socially continent'' [Noh et al, 2003] using 0^1 pads per day (Fig. 4).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The male perineal sling: Intermediate‐term results

Comiter

2005

Neurourology and Urodynamics

123

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

“…These patients are better served by the circumferential compression a¡orded by the arti¢cial sphncter, which has been shown to have satisfactory success rates in radiation patients and in those with previous AUS surgery. [Gousse et al, 2001;Walsh et al, 2002;Lai et al, 2003;Noh et al, 2003].…”

Section: Discussionmentioning

confidence: 99%

The male perineal sling: Intermediate‐term results

Comiter

2005

Neurourology and Urodynamics

123

View full text Add to dashboard Cite

show abstract

“…Early control of the dorsal vein complex, careful apical dissection, precise urethral-vesical anastomosis and preservation of the neurovascular bundles have dramatically reduced postoperative incontinence and impotence. In the literature, preservation of erectile function and continence varies from 38 to 91% [14,15] and 92 to 94%, respectively, in patients undergoing bilateral nerve-sparing surgery [8,11,14] .…”

Section: Discussionmentioning

confidence: 99%

“…Preservation of erectile function varies from 31 to 58% with the monolateral nerve-sparing procedure in an agerelated manner [14,15,18] . Removal of the seminal vesicles has traditionally been considered an integral part of radical prostatectomy.…”

Section: Discussionmentioning

confidence: 99%

Seminal Monolateral Nerve-Sparing Radical Prostatectomy in Selected Patients

Bellina

Mari²,

Ambu³

et al. 2005

Urol Int

View full text Add to dashboard Cite

Introduction: In recent years there has been a shift in prostate cancer stage with the majority of patients nowadays being operated with cT1c disease, prostate-specific antigen levels of <10 ng/ml, and a decreased rate of seminal vesicle invasion. Recent data suggest the role of preservation of the seminal vesicle in improving continence and/or potency. We describe our preliminary experience with seminal-sparing, unilateral nerve-sparing retropubic radical prostatectomy. Patients and Methods: 21 selected patients with clinically localized prostate cancer underwent seminal unilateral nerve-sparing retropubic radical prostatectomy (seminal-sparing group, SSG). We compared the postoperative continence, erectile function and quality of orgasm results to those obtained in a control group (CG) of 21 patients who underwent unilateral nerve-sparing radical prostatectomy. Sexual function was evaluated preoperatively and 9 months postoperatively with the 5-item International Index of Erectile Function (IIEF-5) questionnaire and with oth er self-administered questionnaires. The quality of orgasm was evaluated 9 months postoperatively. Results: 1 month postoperatively, 95 and 28% of the patients in the SSG and CG were continent (p < 0.001). The median postoperative drop in IIEF-5 score was 5 points in SSG and 14.5 points in CG (p < 0.0001). Nine months postoperatively, 90 and 62% of the patients in SSG and CG, respectively (p = 0.05), maintained the ability to achieve orgasm. Conclusions: In our experience seminal-sparing radical prostatectomy showed good feasibility and improved early postoperative urinary continence, erectile function and quality of orgasm, without compromised cancer control.

show abstract

“…The excellent results in the series of Walsh refer mainly to patients younger than 65 y. 27 Noh et al 28 reported that all patients younger than 50 y in his series regained postoperative sexual function compared with only 38% older than 70 y. Similarly, patients with some degree of erectile dysfunction prior to the procedure are more likely to develop severe erectile dysfunction postoperatively.…”

Section: Do the Different Ns Techniques Differ In Outcomes?mentioning

confidence: 96%

Nerve-sparing radical retropubic prostatectomy: techniques and clinical considerations

Gontero

Kirby

2005

Prostate Cancer Prostatic Dis

View full text Add to dashboard Cite

There are essentially two ways to accomplish nerve preservation during radical retropubic prostatectomy: the 'apical approach' described by Walsh and the so-called 'lateral approach', a simplified method where the dissection is initially conducted on the portion of the bundles that courses posterolateral to the prostate. Do the different techniques differ in the ability to preserve potency and in the positive surgical margins rate? No previous study has addressed this question. Above all, the preoperative and intraoperative indications to spare or not the nerves remain a matter of debate. The present review is an attempt to elucidate these questions in light of the current literature.

show abstract

Outcomes after radical retropubic prostatectomy

Cited by 24 publications

References 22 publications

The male perineal sling: Intermediate‐term results

The male perineal sling: Intermediate‐term results

Seminal Monolateral Nerve-Sparing Radical Prostatectomy in Selected Patients

Nerve-sparing radical retropubic prostatectomy: techniques and clinical considerations

Contact Info

Product

Resources

About