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How potent is potent before nerve sparing radical retropubic prostatectomy?
P E Zimmern1, J Kaswick, G E Leach
1Department of Urology, Kaiser Sunset Medical Center, Los Angeles, California, USA.
The Journal of Urology
|September 1, 1995
Summary
Objective assessment of erectile function before prostatectomy is crucial. Duplex Doppler scanning strongly correlates with preoperative potency, aiding surgical candidate evaluation.
Area of Science:
- Urology
- Andrology
- Surgical Oncology
Background:
- Erectile dysfunction is a common concern following prostatectomy.
- Objective assessment of preoperative erectile function is essential for managing patient expectations and surgical planning.
Purpose of the Study:
- To objectively evaluate erectile function in potent men prior to nerve-sparing radical retropubic prostatectomy.
- To determine the correlation between various objective tests and preoperative sexual potency.
Main Methods:
- 45 potent, sexually active men (age 47-70) completed questionnaires.
- Penile biothesiometry, RigiScan testing (3 nights), and duplex Doppler scanning (pre/post prostaglandin E1) were performed.
Main Results:
- Questionnaires indicated normal erections in most patients.
- RigiScan and biothesiometry showed poor correlation with potency.
- Duplex Doppler scanning revealed excellent peak cavernous artery velocities in 93% of participants.
Conclusions:
- Objective assessment is vital for evaluating potent surgical candidates.
- Preoperative erectile function status strongly correlates with duplex Doppler scanning results.