Attempted nerve sparing surgery and age have a significant effect on urinary continence and erectile function after radical cystoprostatectomy and ileal orthotopic bladder substitution

The Journal of Urology
Thomas M KesslerUrs E Studer

Abstract

We assessed factors influencing urinary continence and erectile function after radical cystoprostatectomy and ileal orthotopic bladder substitution. Of 381 consecutive men undergoing radical cystoprostatectomy and ileal orthotopic bladder substitution between April 1985 and June 2003, 331 (87%) met the inclusion criteria and were enrolled in the analysis. Kaplan-Meier models and multivariate analysis applying Cox regression were used to evaluate factors influencing postoperative urinary continence and erectile function. In univariate analysis, attempted nerve sparing and age younger than 65 years were significantly associated with better daytime (p = 0.002 and p = 0.007, respectively) and nighttime continence (p = 0.036 and p = 0.005, respectively). In multivariate analysis the rate of daytime continence was significantly higher in patients with attempted nerve sparing (hazards ratio [HR] 1.4, 95% confidence interval [CI] 1.05-1.87) and nighttime continence was significantly better in patients younger than 65 years (HR 1.39, 95% CI 1.07-1.8). Daytime continence was significantly better (p <0.0001) and was achieved more quickly than nighttime continence (p <0.0001). The time to achieve daytime continence was shorter for patients...Continue Reading

References

Aug 1, 1986·British Journal of Urology·S A GilpinR S Kirby
Feb 1, 1995·Urology·U E Studer, W H Turner
Aug 1, 1994·British Journal of Urology·P ZvaraE A Tanagho
Nov 1, 1996·The Journal of Urology·P HammererH Huland
Mar 1, 1997·Urology·R S HollabaughM S Steiner
Dec 10, 1997·The Urologic Clinics of North America·U E Studer, E J Zingg
Dec 29, 2000·World Journal of Urology·W D Steers
Mar 22, 2001·International Journal of Urology : Official Journal of the Japanese Urological Association·N MiyaoT Tsukamoto
Apr 17, 2002·The Journal of Urology·Stephan MadersbacherUrs E Studer
Feb 5, 2003·European Urology·E J H Meuleman, P F A Mulders
Feb 11, 2003·The Journal of Urology·Richard E Hautmann

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Citations

Aug 10, 2006·Der Urologe. Ausg. A·C StiefH Rubben
Jan 27, 2012·Der Urologe. Ausg. A·A HeidenreichD Pfister
Jul 11, 2006·World Journal of Urology·Richard E HautmannUrs E Studer
Dec 19, 2008·International Journal of Clinical Oncology·Faysal A YafiWassim Kassouf
May 22, 2010·International Urology and Nephrology·Marcos F Dall'OglioMiguel Srougi
Nov 6, 2010·International Urology and Nephrology·Atsushi TakenakaMasato Fujisawa
Dec 1, 2011·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·G SanchoJ Palou
Jul 1, 2005·International Journal of Impotence Research·C ZippeR Raina
Nov 10, 2007·Fertility and Sterility·Rupesh RainaCraig D Zippe
Sep 1, 2005·World Journal of Surgery·Gianni MartisBruno Mastrangeli
Sep 17, 2010·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H Kübler, J E Gschwend
Mar 17, 2009·The Journal of Sexual Medicine·Anthony J BellaTom F Lue
Sep 22, 2012·European Urology·Richard E HautmannUNKNOWN International Consultation on Urologic Disease-European Association of Urology Consultation on Bladder Cancer 2012
Oct 9, 2012·Seminars in Oncology·Lambros StamatakisSeth P Lerner
Nov 21, 2015·World Journal of Urology·Bernhard KissGeorge N Thalmann
Sep 9, 2008·The Journal of Sexual Medicine·Onder Canguven, Arthur Burnett
Feb 8, 2011·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L NiangS-M Gueye
Dec 26, 2015·Der Urologe. Ausg. A·M Spahn, S Boxler
Nov 3, 2009·Urologic Oncology·Shahrokh F ShariatMichael J Droller
Jun 2, 2009·European Urology·Michael FroehnerUrs E Studer
Oct 22, 2008·The Journal of Urology·R Thurairaja, U E Studer
Nov 22, 2008·European Urology·Arnulf Stenzl
Aug 11, 2007·European Urology·Joseph A PettusBernard H Bochner
Dec 24, 2015·Advances in Urology·Wei Shen TanJohn D Kelly
Feb 13, 2007·Lancet·Peter M ReesCornelis P Maas
Aug 19, 2015·Journal of Pharmacological and Toxicological Methods·Mandeep Singh KapoorSurendra H Bodakhe
Oct 18, 2005·BJU International·Craig D ZippeRupesh Raina
Nov 28, 2008·BJU International·George N Thalmann, John P Stein
Nov 28, 2008·BJU International·Ramesh ThurairajaUrs E Studer

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