[DOWNLOAD] ~ Is Sparing the Prostate Still Considered Radical Cystectomy? the Case Against Prostate-Sparing Cystectomy for Bladder Cancer (Point/Counterpoint) (Report) ~ by Canadian Urological Association Journal (CUAJ) ~ Book PDF Kindle ePub Free
eBook details
- Title: Is Sparing the Prostate Still Considered Radical Cystectomy? the Case Against Prostate-Sparing Cystectomy for Bladder Cancer (Point/Counterpoint) (Report)
- Author : Canadian Urological Association Journal (CUAJ)
- Release Date : January 01, 2009
- Genre: Health & Fitness,Books,Health, Mind & Body,
- Pages : * pages
- Size : 232 KB
Description
Author(s): Ahmed Kotb, MD, Armen G. Aprikian, MD, FRCSC Radical cystoprostatectomy with bilateral pelvic lymphadenectomy and urinary diversion remains the gold standard therapy for localized bladder cancer in men.[sup.1] The procedure has been refined over several decades with the current application of nerve-sparing techniques.[sup.2,3] Unfortunately, the procedure carries significant risks of urinary and sexual dysfunction resulting in bladder-sparing approaches being popularized for selected early invasive bladder cancers. More recently, some authors have suggested that prostate-sparing cystectomy may be appropriate in selected men to improve postoperative sexual and urinary function.[sup.4]-[sup.6] They propose that leaving the prostate, or part of it, intact will result in less damage to pelvic innervation and better preservation of sexual function and urinary sphincter control in cases of orthotopic diversion. These potential functional improvements must be weighed against any risks for oncologic outcomes.
 (Report) ~ by Canadian Urological Association Journal (CUAJ) ~ Book PDF Kindle ePub Free){kind=link}