Relation between erectile dysfunction and urinary incontinence after nerve-sparing and non-nerve-sparing radical prostatectomy.

Abstract:

INTRODUCTION:We investigated the status of erectile function and urinary continence after radical prostatectomy to investigate a possible relation between them and then determined whether the status of postoperative urinary continence affected erectile function. PATIENTS AND METHODS:Seventy-six patients who had no symptoms of erectile dysfunction or urinary incontinence preoperatively were included in this study. The postoperative status of erectile function and urinary continence was investigated using a self-reported patient questionnaire. RESULTS:Thirteen of 27 patients (48.1%) who underwent nerve-sparing procedures maintained erectile function, while 7 of 49 patients (14.2%) who underwent non-nerve-sparing procedures maintained it postoperatively. None of the 27 patients in the nerve-sparing procedure group reported incontinence, whereas 3 of the 49 patients (6.1%) who underwent non-nerve-sparing procedures reported moderate incontinence. However, no significant correlation between the International Index of Erectile Function-5 score and the Incontinence Impact Questionnaire score was seen. CONCLUSION:No relation between the status of urinary continence and erectile function was shown, regardless of the nerve-sparing nature of the prostatectomy.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Tsujimura A,Matsumiya K,Miyagawa Y,Takaha N,Nishimura K,Nonomura N,Mori N,Hara T,Yamaguchi S,Takahara S,Okuyama A

doi

10.1159/000078801

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

31-5

issue

1

eissn

0042-1138

issn

1423-0399

pii

78801

journal_volume

73

pub_type

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