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.
Palavra-chave bladder
bladder neoplasms
cystectomy
urinary diversion
urinary reservoirs
Idioma Inglês
Data de publicação 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)
Publicador 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)
Endereço permanente http://repositorio.unifesp.br/handle/11600/1805

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