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Related Concept Videos

Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
Male Sexual Response: Erection & Ejaculation01:17

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Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...

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Related Experiment Video

Updated: May 10, 2026

Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy
09:49

Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy

Published on: December 28, 2021

Erectile function after cystectomy with neurovascular preservation.

A Vilaseca1, E García-Cruz, M J Ribal

  • 1Departamento de Urología, Hospital Clínic de Barcelona, Barcelona, España.

Actas Urologicas Espanolas
|June 25, 2013
PubMed
Summary

Neurovascular preservation during radical cystectomy shows promising results for maintaining postoperative erection. This nerve-sparing surgery is recommended for younger patients without prior erectile dysfunction.

Keywords:
Cistectomía radicalContinencia urinariaErectile functionFunción eréctilNeurovascular preservationPreservación neurovascularRadical cystectomyUrinary continence

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Area of Science:

  • Urology
  • Oncology
  • Sexual Medicine

Background:

  • Radical cystectomy is a major surgery for bladder cancer.
  • Postoperative erectile dysfunction is a common concern after radical cystectomy.
  • Neurovascular preservation techniques aim to maintain erectile function.

Purpose of the Study:

  • To evaluate the effectiveness of neurovascular preservation in preserving erectile function after radical cystectomy.
  • To identify factors influencing postoperative erectile function recovery.

Main Methods:

  • Retrospective analysis of 44 radical cystectomies in men under 65.
  • Comparison between 11 cases with neurovascular preservation and 33 without.
  • Assessment of erectile function using the Erection Hardness Score (EHS) and pharmacological support.

Main Results:

  • Spontaneous erectile function (EHS 3-4) was achieved in 77.7% of the neurovascular preservation group versus 4.5% in the non-preservation group.
  • Nerve-sparing surgery and younger age were significantly associated with better erectile function recovery.
  • Pharmacological interventions improved function in some patients in both groups.

Conclusions:

  • Neurovascular preservation during radical cystectomy yields encouraging functional outcomes for erections.
  • This nerve-sparing approach should be strongly considered for eligible young patients.
  • Further research may optimize patient selection and surgical techniques.