保留性功能全膀胱切除原位回肠新膀胱术(附11例报道)

目的探讨保留勃起功能的全膀胱切除术治疗浸润性膀胱癌的价值。方法对浸润性膀胱癌行保留性神经的根治性切除,保留精囊、输精管、神经血管束及大部分前列腺包膜。结果 11例患者回肠储尿囊术后经尿道自然排尿,尿量>200mL,最大尿流率>15mL/s,剩余尿<25mL。术后性功能保留。全部患者均保留勃起功能。结论保留神经的根治性膀胱全切术能较好的保留勃起及控尿能力。

Sexuality Preserving Cystectomy and Neobladder for the Treatment of Bladder Carcinoma in 11 Patients

Objective To evaluate the oncologieal outcome and functional results of our sexuality preserving cystectomy and neobladder in bladder carcinoma. Methods After cystectomy was performed via the tradi-tional technique, During the operation, the vasa deferens, seminal vesicles, prostatic capsule and neurovascular bundles were preserved. Results All patients achieved daytime continence. With time, the post operative enuresis was controlled. The capacity was over200mL, the maximum flow rate（Qmax）overl5mL/s, the residual urine volume consis-tenfly less than 25mL.Normal erectile function was preserved in all patients（100%）. Conclusion Sexuality preserving cystectomy and neobladder with bladder cancer is feasible.Functional results with regard to erectile function and urinary continence are excellent.