Impotence after prostatectomy.

Patient-reported impotence and incontinence after nerve-sparing radical prostatectomy.

BACKGROUND The age-adjusted rate of radical prostatectomy, the most common treatment of early (nonmetastatic) prostate cancer, increased almost sixfold between 1984 and 1990. This increase was due in part to reported improvements in postoperative sexual potency after the use of newly developed "nerve-sparing" procedures. However, published estimates from physicians of impotence following variou...

Sexual Impotence

Sexual Function after Prostatectomy

The aim of the study was to investigate the influence of transurethral and transvesical prostatectomy on the sexual function. Forty patients with the confirmed benign prostatic hyperplasia were analyzed. Transurethral and transvesical prostatectomy were performed in all patients. IIEF score was studied before, as well as three and six months after the surgery. All results were compared with the...

Robotic Assisted Laparoscopic Prostatectomy Performed after Previous Suprapubic Prostatectomy

Operative management of prostate cancer in a patient who has undergone previous open suprapubic simple prostatectomy poses a unique surgical challenge. Herein, we describe a case of intermediate risk prostate cancer in a man who had undergone simple prostatectomy ten years prior to presentation. The patient was found to have Gleason 7 prostate cancer on MRI fusion biopsy of the prostate for ele...

Transient paralysis after robotic prostatectomy

Laparoscopic radical prostatectomy (LARP) has been accepted as first line therapy for clinically localized prostate cancer. Complications have been low and outcomes are comparable to that of open surgery with potential benefits including shorter hospital stay, less pain and quicker return to normal activity. Unexplained paralysis following LARP is a rare entity with no reported cases in the cur...