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Functional recovery after radical prostatectomy for prostate cancer

고영휘
영남대학교 의과대학 (Yeungnam University College of Medicine)|2018.12|Journal of Yeungnam Medical Science|제35권 제2호|pp. 141-149|DOI https://doi.org/10.12701/yujm.2018.35.2.141

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키워드

Prostate cancerRobotic surgeryErectile dysfunctionPost-prostatectomy incontinenceRadical prostatectomy
주제분류의학일반

초록

With the enthusiasm regarding robotic application in radical prostatectomy in accordance with the widespread use of serum prostate-specific antigen as a screening test, the number of surgeries performed for complete removal of the gland is increasing continuously. However, owing to the adjacent anatomical location of the prostate to the nerve and urethral sphincter complex, functional recovery, namely improvement from post-prostatectomy incontinence (PPI) and post-prostatectomy erectile dysfunction, still remains a main problem for patients who are reluctant to undergo surgery and tend to choose alternative ways instead. Since the late 1980s, the introduction of radical prostatectomy by open surgical modalities, the depth of the anatomical understanding of the structure surrounding the prostate is getting tremendous, which leads to the development of new surgical modalities and techniques that are consequently aimed at reducing the incidences of PPI and erectile dysfunction. Briefly, recent data from robotic radical prostatectomy, particularly on PPI, are quite acceptable, but by contrast, the reported potency regain rate still remains <20%, which indicates the need for advanced surgical modification to overcome it. In this review, the authors summarized the recent findings on the anatomy and surgical techniques reported up to now.

Abstract

With the enthusiasm regarding robotic application in radical prostatectomy in accordance with the widespread use of serum prostate-specific antigen as a screening test, the number of surgeries performed for complete removal of the gland is increasing continuously. However, owing to the adjacent anatomical location of the prostate to the nerve and urethral sphincter complex, functional recovery, namely improvement from post-prostatectomy incontinence (PPI) and post-prostatectomy erectile dysfunction, still remains a main problem for patients who are reluctant to undergo surgery and tend to choose alternative ways instead. Since the late 1980s, the introduction of radical prostatectomy by open surgical modalities, the depth of the anatomical understanding of the structure surrounding the prostate is getting tremendous, which leads to the development of new surgical modalities and techniques that are consequently aimed at reducing the incidences of PPI and erectile dysfunction. Briefly, recent data from robotic radical prostatectomy, particularly on PPI, are quite acceptable, but by contrast, the reported potency regain rate still remains <20%, which indicates the need for advanced surgical modification to overcome it. In this review, the authors summarized the recent findings on the anatomy and surgical techniques reported up to now.

참고문헌 (48)

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관련 논문AI추천

Effect of Nerve-Sparing Radical Prostatectomy on Urinary Continence in Patients With Preoperative Erectile Dysfunction권오성, 김세웅, 박용현, 이지열, 홍성후, 황태곤대한배뇨장애요실금학회 · International Neurourology Journal2016 · 제20권 제1호Robotic Prostatectomy: What We Have Learned and Where We Are GoingDavid I. Lee연세대학교의과대학 · Yonsei Medical Journal2009 · 제50권 제2호Comparison of Robot-Assisted Radical Prostatectomy and Open Radical Prostatectomy Outcomes: A Systematic Review and Meta-Analysis김대근, 나군호, 서현주, 손수경, 이나래, 이선희연세대학교의과대학 · Yonsei Medical Journal2016 · 제57권 제5호A Prospective Analysis of the Effects of Nerve-Sparing Radical Prostatectomy on Urinary Continence Based on Expanded Prostate Cancer Index Composite and International Index of Erectile Function Scoring SystemsBurkhardt Seifert, Karolin Bossert, Kurt Lehmann, Lukas Hefermehl, Venkat M. Ramakrishnan대한배뇨장애요실금학회 · International Neurourology Journal2018 · 제22권 제2호Oncological and functional outcomes following robot-assisted laparoscopic radical prostatectomy at a single institution: a minimum 5-year follow-up강준구, 권태균, 김범수, 김태환, 김현태, 윤길숙, 이준녕, 정재욱, 천소영, 최석환, 하윤석영남대학교 의과대학 · Journal of Yeungnam Medical Science2018 · 제35권 제2호Health-Related Quality of Life Changes in Prostate Cancer Patients after Radical Prostatectomy: A Longitudinal Cohort Study김태환, 남종길, 박승철, 박종혁, 박진성, 신동욱, 윤석중, 이상협, 전승현, 정승일대한암학회 · Cancer Research and Treatment2019 · 제51권 제2호

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