2006 - UZ Leuven

UROLOGIEALBERSEN M., JONIAU S., VAN POPPEL H.: Identification of predictorsof functional outcome of open nerve-sparing radical prostatectomy. J.Sex Med., 2006: 17.Objective: To report functional outcome of open nerve-sparing radicalretropubic prostatectomy (NS RRP), and to identify predictors ofpostoperative erectile function, ability to achieve orgasm andcontinence.Methods: Between January 2001 and November 2004, 272 patientsunderwent uni- or bilateral NS RRP at our institution. At a minimum of18 months post-surgery, patients received a questionnaire on erectilefunction, ability to achieve orgasm, and continence. Patients reportingerectile dysfunction pre-operatively, and patients who receivedadjuvant therapy (radiotherapy and/or hormone treatment) wereexcluded.Results: The response rate was 71.7% (n=195). A further 34 patientswere excluded, leaving 161 patients for the final analysis. Mean agewas 59.44 years (range 45-75). 55% underwent bilateral, 45%unilateral or partial bilateral nerve sparing surgery. Overall fullrecovery rate of potency using single-item assessment (erections firmenough for penetration) was 36.1. Postoperatively, 29.3% of patientsreported anorgasmia, where pre-operatively none of the patients hadanorgasmia. One patient (0.6%) suffered from incontinence grade 3,indicating pad use of more than one pad per day.Conclusion: Because of an increased detection of organ confinedprostate cancer, the demand for nerve-sparing surgery is rising. In ourgroup, recovery of potency, continence and orgasm were mainlycorrelated with age and blood loss. The single factors that can beinfluenced are blood loss and quality of nerve-sparing, which stressesthe importance of proper anatomical surgical technique.ALBERSEN M., JONIAU S., VAN POPPEL H.: The use of the IIEF-5questionnaire for evaluation of erectile dysfunction following nervesparing.J. Sex Med., 2006: 19.Objective: Because of an increased detection of organ confinedprostate cancer, the demand for nerve-sparing surgery is rising. In thevast majority of studies concerning erectile dysfunction following127