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

Autor 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
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo 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.
Assunto bladder
bladder neoplasms
cystectomy
urinary diversion
urinary reservoirs
Idioma Inglês
Data 2003-08-01
Publicado em International braz j urol. Sociedade Brasileira de Urologia, v. 29, n. 4, p. 336-344, 2003.
ISSN 1677-5538 (Sherpa/Romeo)
Editor Sociedade Brasileira de Urologia
Extensão 336-344
Fonte http://dx.doi.org/10.1590/S1677-55382003000400010
Direito de acesso Acesso aberto Open Access
Tipo Artigo
SciELO S1677-55382003000400010 (estatísticas na SciELO)
URI http://repositorio.unifesp.br/handle/11600/1805

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