Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique

Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique

Author Miguel, Srougi Autor UNIFESP Google Scholar
Dall'oglio, Marcos Autor UNIFESP Google Scholar
Nesrallah, Luciano J Autor UNIFESP Google Scholar
Arruda, Homero O Autor UNIFESP Google Scholar
Ortiz, Valdemar Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract OBJECTIVE: To describe the original cystoprostatectomy technique which allows the preservation of sexual and urinary function in the majority of treated patients. SURGICAL TECHNIQUE: The described technique presents some details that distinguish it from classic cystectomy: 1) a more efficient control of prostate venous and arterial tributaries; 2) preservation of prostatic capsule and enucleation of prostatic parenchyma, which is removed in block together with the bladder, without violating the vesical neck; 3) no manipulation of the distal urethral sphincteric complex; 4) preservation of seminal vesicles and maintenance of cavernous neurovascular bundles; 5) wide anastomosis between the ileal neobladder and the prostatic capsule. COMMENTS: The proposed maneuvers allow the performance of radical cystectomy with integral preservation of distal urethral sphincter and of cavernous neurovascular bundles, without jeopardizing the oncological principles.
Keywords bladder
bladder neoplasms
cystectomy
urinary diversion
urinary reservoirs
Language English
Date 2003-08-01
Published in International braz j urol. Sociedade Brasileira de Urologia, v. 29, n. 4, p. 336-344, 2003.
ISSN 1677-5538 (Sherpa/Romeo)
Publisher Sociedade Brasileira de Urologia
Extent 336-344
Origin http://dx.doi.org/10.1590/S1677-55382003000400010
Access rights Open access Open Access
Type Article
SciELO ID S1677-55382003000400010 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/1805

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