Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique
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.
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Sociedade Brasileira de Urologia
2003
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oai:scielo:S1677-553820030004000102004-03-15Radical cystectomy with preservation of sexual function and urinary continence: description of a new techniqueMiguel,SrougiDall'oglio,MarcosNesrallah,Luciano JArruda,Homero OOrtiz,Valdemar bladder bladder neoplasms cystectomy urinary diversion urinary reservoirs/continence 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.info:eu-repo/semantics/openAccessSociedade Brasileira de UrologiaInternational braz j urol v.29 n.4 20032003-08-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000400010en10.1590/S1677-55382003000400010 |
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Miguel,Srougi Dall'oglio,Marcos Nesrallah,Luciano J Arruda,Homero O Ortiz,Valdemar |
| spellingShingle |
Miguel,Srougi Dall'oglio,Marcos Nesrallah,Luciano J Arruda,Homero O Ortiz,Valdemar Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique |
| author_facet |
Miguel,Srougi Dall'oglio,Marcos Nesrallah,Luciano J Arruda,Homero O Ortiz,Valdemar |
| author_sort |
Miguel,Srougi |
| title |
Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique |
| title_short |
Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique |
| title_full |
Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique |
| title_fullStr |
Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique |
| title_full_unstemmed |
Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique |
| title_sort |
radical cystectomy with preservation of sexual function and urinary continence: description of a new technique |
| description |
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. |
| publisher |
Sociedade Brasileira de Urologia |
| publishDate |
2003 |
| url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000400010 |
| work_keys_str_mv |
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