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Related Experiment Videos

Sexual function in men after radical cystectomy with or without urethrectomy.

R Tomić1, J G Sjödin

  • 1Department of Urology and Andrology, University of Umeå, Sweden.

Scandinavian Journal of Urology and Nephrology
|January 1, 1992
PubMed
Summary

Radical cystectomy for bladder carcinoma can preserve sexual function. Nerve-sparing surgery without urethrectomy significantly improves the chances of maintaining erectile function and orgasm post-treatment.

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Area of Science:

  • Urology
  • Oncology
  • Sexual Medicine

Background:

  • Bladder carcinoma necessitates radical cystectomy, a procedure that can impact sexual function.
  • Nerve-sparing surgical techniques aim to minimize collateral damage during cystectomy.
  • Urethral preservation during cystectomy is a debated factor in post-operative sexual health.

Purpose of the Study:

  • To evaluate the impact of urethral preservation during nerve-sparing radical cystectomy on sexual function in bladder carcinoma patients.
  • To compare sexual outcomes between patients who underwent cystectomy with and without urethrectomy.

Main Methods:

  • Prospective evaluation of sexual function in 21 patients with bladder carcinoma.
  • All patients received preoperative radiotherapy and underwent nerve-sparing radical cystectomy.

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  • Patients were divided into two groups: those with urethrectomy (n=9) and those without (n=12).
  • Sexual function, including desire, erection, and orgasm, was assessed at follow-up.

    • Main Results:

    • All patients reported normal sexual desire and tactile sexual activity.
    • Eight of 12 patients (67%) with urethral preservation achieved erection and orgasm.
    • Five of these patients had sufficient erection strength for intercourse.
    • Two of 9 patients (22%) without urethral preservation had weak erections, and three experienced orgasm.

    Conclusions:

    • Nerve-sparing radical cystectomy without urethrectomy offers a higher likelihood of preserving sexual function, including erectile capability.
    • Urethral preservation is a key factor in maintaining satisfactory sexual function after bladder cancer treatment.
    • These findings support the consideration of urethral preservation in surgical planning for bladder carcinoma.