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J Urol. 1996 Feb;155(2):490-4.

Local recurrence and survival following nerve sparing radical cystoprostatectomy for bladder cancer: 10-year followup.

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  • 1James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Johns Hopkins University School of Hygiene and Public Health, Baltimore, Maryland, USA.

Abstract

PURPOSE:

The efficacy of nerve sparing radical cystoprostatectomy for the treatment of bladder cancer has been evaluated. We reviewed our 10-year experience with this technique to ascertain survival and local recurrence rates.

MATERIALS AND METHODS:

The charts of 101 patients treated with nerve sparing cystoprostatectomy between March 1982 and November 1989 were reviewed and updated.

RESULTS:

The disease-specific 10-year survival rate for all stages of bladder cancer treated was 69% and the 10-year survival rate free of local recurrence was 94%. Recovery of sexual function following nerve sparing cystectomy correlated with patient age: 62% in men 40 to 49 years old, 47% in men 50 to 59 years old, 43% in men 60 to 69 years old and 20% in men 70 to 79 years old.

CONCLUSIONS:

Nerve sparing radical cystoprostatectomy does not compromise cancer control and provides improved postoperative quality of life.

Comment in

PMID:
8558643
[PubMed - indexed for MEDLINE]
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