Artículos de revistas
Radical cystectomy with preservation of sexual function and urinary continence: description of a new technique
Fecha
2003-08-01Registro en:
International braz j urol. Sociedade Brasileira de Urologia, v. 29, n. 4, p. 336-344, 2003.
1677-5538
S1677-55382003000400010.pdf
S1677-55382003000400010
10.1590/S1677-55382003000400010
Autor
Miguel, Srougi
Dall'oglio, Marcos
Nesrallah, Luciano J
Arruda, Homero O
Ortiz, Valdemar
Institución
Resumen
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.