The role of water-jet dissection in improving erectile function and urinary continence after nerve-sparing prostatectomy

Urologia
Peter V GlybochkoG A Martirosyan

Abstract

The aim of this study was to assess erectile function (EF) and urinary continence (UC) recovery after nerve-sparing retropubic radical prostatectomy (NS-RRPE) and nerve-sparing laparoscopic radical prostatectomy (NS-LRPE) depending on the neurovascular bundle (NVB) dissection technique used. Twenty-four hour pad test was used to assess the degree of postoperative UC 1, 6 and 12 months after the surgery. For the purpose of EF assessment, International Index of Erectile Function-5 (IIEF-5) questionnaire was used. In addition, EF recovery assessment included the time needed to achieve a successful sexual intercourse with or without Inhibitors Phosphodiesterase 5 (IPDE5). A successful sexual intercourse was defined as an ability to achieve a strong erection enough for penetration and maintain erection for a long time, throughout the intercourse. Assessment was performed before the surgery and 8 and 6 months after the surgery. In the patient group with BNS + water jet dissection (WJD), the IIEF-5 score was considerably higher 8 weeks after the surgery (by 2.8 points) (р = 0.02). In 6 months, the difference between the group become more significant and reached 3.5 points (p = 0.01). Three months after urethral catheter removal, major...Continue Reading

References

Jan 23, 1999·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·I I Lantis JCS D Schwaitzberg
Nov 13, 2004·The Journal of Urology·Shilajit D KunduWilliam J Catalona
May 18, 2011·The Journal of Urology·Manish I PatelErnesto Lopez-Corona

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BETA
dissection
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