Total or partial prostate sparing cystectomy for invasive bladder cancer: long‐term implications on erectile function

To review the long‐term results in patients treated with either total or partial prostate‐sparing cystectomy, focusing on erectile function (EF), as en‐bloc radical cystectomy (RC) with or without urethrectomy has been the method of choice for managing invasive bladder carcinoma, but has inherent risks of subsequent urinary incontinence and erectile dysfunction, with a marked effect on quality of life, especially in younger patients.

[1]  Sam S. Chang,et al.  Incidence and location of prostate and urothelial carcinoma in prostates from cystoprostatectomies: implications for possible apical sparing surgery. , 2004, The Journal of urology.

[2]  W. Meinhardt,et al.  Clinical outcomes after sexuality preserving cystectomy and neobladder (prostate sparing cystectomy) in 44 patients. , 2008, The Journal of urology.

[3]  H. Davila,et al.  Sexual function after surgery for prostate or bladder cancer. , 2006, Cancer control : journal of the Moffitt Cancer Center.

[4]  A. Agarwal,et al.  Sexual dysfunction after pelvic surgery , 2006, International Journal of Impotence Research.

[5]  G. Martis,et al.  Prostatic Capsule- and Nerve-sparing Cystectomy in Organ-confined Bladder Cancer: Preliminary Results , 2005, World Journal of Surgery.

[6]  V. Ficarra,et al.  Correlation between clinical and pathological staging in a series of radical cystectomies for bladder carcinoma , 2005, BJU international.

[7]  W. Meinhardt,et al.  Clinical outcomes after sexuality preserving cystectomy and neobladder (prostate sparing cystectomy) in 44 patients. , 2005, The Journal of urology.

[8]  E. Klein,et al.  Sexual function after male radical cystectomy in a sexually active population. , 2004, Urology.

[9]  H. von der Maase,et al.  Long-term bladder, colorectal, and sexual functions after radical radiotherapy for urinary bladder cancer. , 2004, Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology.

[10]  M. Fishman,et al.  666: Erectile Function Following Prostate-Sparing Radical Cytectomy for Invasive Bladder Carcinoma , 2004 .

[11]  Sam S. Chang,et al.  Incidence and location of prostate and urothelial carcinoma in prostates from cystoprostatectomies: implications for possible apical sparing surgery. , 2004, The Journal of urology.

[12]  B. LaFleur,et al.  Carcinoma in situ and tumor multifocality predict the risk of prostatic urethral involvement at radical cystectomy in men with transitional cell carcinoma of the bladder. , 2002, The Journal of urology.

[13]  I. Osterloh,et al.  Diagnostic evaluation of the erectile function domain of the International Index of Erectile Function. , 1999, Urology.

[14]  J. Stein,et al.  Orthotopic urinary diversion with preservation of erectile and ejaculatory function in men requiring radical cystectomy for nonurothelial malignancy: a new technique. , 1999, The Journal of urology.

[15]  P. Walsh,et al.  Neuroanatomical approach to radical cystoprostatectomy with preservation of sexual function. , 1987, The Journal of urology.